NPI 1831273077

Peter Jonathan Kiessling, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Lake Oswego, OR

Practice location

Address: Locum Tenens (multiple Locations), Lake Oswego, OR 97035-5523
Phone: (503) 635-9980
Mailing address: 4235 West Bay Rd., Lake Oswego, OR 97035-5523

Registered specialties (3)

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence MD 10083 (OR)

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Anatomic Pathology & Clinical Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence MD 10973 (WA)

Anatomic Pathology & Clinical Pathology Physician

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence G25292 (CA)

Registry record

NPI: 1831273077
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Oct 2006
Record last updated: 8 Jul 2007

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.