PORNTIP KIATSIMKUL MD
Individual Provider (NPI-1)
Active
Internal Medicine, Infectious Disease
Provider Information
- NPI Number
1205099082- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3640 NW SAMARITAN DR STE 210, CORVALLIS, OR, 973303787
- Phone
- (541) 768-5810
Specialties & Taxonomies
Internal Medicine, Infectious Disease
License: FL #ME132818
Internal Medicine, Infectious Disease
Primary License: OR #MD222762
All Addresses
MAILING
PO BOX 1189
CORVALLIS, OR, 973391189