Organization · Type 2 NPI
KPG Oregon, LLC
Addiction Medicine (Internal Medicine) Physician · Astoria, OR
Practice location
486 12th Street #200
Astoria, OR 97103
Mailing address
9000 Sunset Blvd #1500
West Hollywood, CA 90069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Internal Medicine) Physician Primary | 207RA0401X | MD168198 (OR) |
Addiction Medicine (Internal Medicine) Physician: An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
About NPI 1730552845
KPG Oregon, LLC's National Provider Identifier is 1730552845, issued on Nov 11, 2015. The primary taxonomy on file is Addiction Medicine (Internal Medicine) Physician (207RA0401X), and the practice location is in Astoria, OR. The record was last updated on Apr 12, 2018.