Petr Miksovsky, M.D.
Obstetrics & Gynecology in Portland, OR. Individual provider (NPI-1).
NPI number1285647735
StatusActive
Last updated in NPPESSep 3, 2008
Details
- NPI
- 1285647735
- Entity type
- Individual (NPI-1)
- Name
- Petr Miksovsky
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 15, 2006
- Last updated
- Sep 3, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | MD23779 | OR | Yes |
Practice location
3550 N Interstate AveKaiser Permanente, Dept. Of Obstetrics & Gynecology
Portland, OR 97227-1196
Phone 503-285-9321
Mailing address
3550 N Interstate AveKaiser Permanente, Dept. Of Obstetrics & Gynecology
Portland, OR 97227-1196
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