Organization · Type 2 NPI

Kaisky

Clinic/Center · Mcminnville, OR

NPI number 1730856774 Active

Practice location

2550 NE Mcdonald Ln
Mcminnville, OR 97128-2223

Mailing address

1230 George St
Woodburn, OR 97071-5203

Other practice locations

  • 1230 George St, Woodburn, OR 97071-5203 · (503) 981-3603

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed
Dental Clinic/Center 261QD0000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1730856774

Kaisky's National Provider Identifier is 1730856774, issued on Aug 26, 2021. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Mcminnville, OR. The record was last updated on Oct 8, 2021.