Organization · NPI-2

Robert L Kalez MD PC

Urology · Gresham, OR

NPI number1710110127
StatusActive
Last updated in NPPESNov 2, 2009

Details

NPI
1710110127
Entity type
Organization (NPI-2)
Legal business name
Robert L Kalez MD PC
Organization subpart
No
Enumeration date
Sep 2, 2009
Last updated
Nov 2, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology006014ORYes

Practice location

24900 Se Stark St
208
Gresham, OR 97030-3355

Phone 503-666-3030 · Fax 503-666-3434

Mailing address

24900 Se Stark St
208
Gresham, OR 97030-3355

Phone 503-666-3030 · Fax 503-666-3434

Authorized official

Robert L Kalez
President
5036663030

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