NPI 1639310774

Keith Leland Ironside, MD

Practitioner Sleep Specialist (PhD) Tualatin, OR

Practice location

Address: 6464 SW Borland Rd Suite B2, Tualatin, OR 97062-8876
Phone: (503) 612-9676
Fax: (866) 360-3540

Registered specialties (2)

Sleep Specialist (PhD) Primary

Other Service Providers Taxonomy 173F00000X Licence MD09750 (OR)

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Specialist

Other Service Providers Taxonomy 174400000X Licence MD09750 (OR)

Other Specialist providers in Oregon →

Registry record

NPI: 1639310774
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Mar 2009
Record last updated: 17 Sep 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.