Individual provider · Type 1 NPI

Brian Patrick Kuklok, DPM

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1205321882 Active

Practice location

1015 NW 22nd Ave
Portland, OR 97210-3025

Call (503) 413-8401 Map

Fax (503) 413-7361

Other practice locations

  • 3100 Telegraph Ave, Oakland, CA 94609-3239 · (800) 607-6377

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1205321882

Brian Patrick Kuklok, DPM's National Provider Identifier is 1205321882, issued on Jun 26, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Apr 8, 2019.