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NPI Code Detail

MEDICARE: KAI LI MD

MEDICARE: KAI LI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD26746OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1427153238
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAI LI MD
Provider Business Mailing Address
First Line : 6 CENTERPOINTE DR STE 200
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-8660
Country : US
Telephone Number : 503-797-2268
Fax Number : 503-234-8227
Provider Business Practice Location Address
First Line : 1001 MOLALLA AVE STE 100
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-3753
Country : US
Telephone Number : 503-656-5273
Fax Number : 503-650-4828
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2006
Last Update Date : 05/18/2012

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Directions to “ KAI LI MD” Practice Location

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