| Kleiman Healthcare Services | |
|
415 N State St Ste 136 Lake Oswego OR 97034-3243 | |
| (310) 951-3450 | |
| Not Available |
| Full Name | Kleiman Healthcare Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 415 N State St Ste 136, Lake Oswego, Oregon |
| Authorized Official Name and Position | Nazeneem S Kleiman (NURSE PRACTITIONER/PRESIDENT) |
| Authorized Official Contact | 3109513450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kleiman Healthcare Services 415 N State St Ste 136 Lake Oswego OR 97034-3243 Ph: (310) 951-3450 | Kleiman Healthcare Services 415 N State St Ste 136 Lake Oswego OR 97034-3243 Ph: (310) 951-3450 |
| NPI Number | 1154070084 |
|---|---|
| Provider Enumeration Date | 03/19/2022 |
| Last Update Date | 03/19/2022 |
| Medicare PECOS PAC ID | 3678951605 |
|---|---|
| Medicare Enrollment ID | O20220826001786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154070084 | NPI | - | NPPES |
| 1497396899 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Nazeneem Kleiman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497396899 PECOS PAC ID: 4789002940 Enrollment ID: I20220826001824 |
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