Robert L. Klobucnik, MD
Emergency Medicine in Tualatin, OR. Individual provider (NPI-1).
NPI number1609899012
StatusActive
Last updated in NPPESOct 25, 2023
Details
- NPI
- 1609899012
- Entity type
- Individual (NPI-1)
- Name
- Robert L. Klobucnik
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2006
- Certification date
- Oct 25, 2023
- Last updated
- Oct 25, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | MD22292 | OR | Yes |
Practice location
19300 Sw 65th AveTualatin, OR 97062-7706
Phone 503-692-7474
Mailing address
6312 Sw Capitol Hwy#502
Portland, OR 97239-1938
Phone 503-464-9034
Other practice locations
3550 N Interstate Ave
Portland, OR 97227-1196
Portland, OR 97227-1196
Phone 503-652-2888
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