DR. KURSTEEN SALTER PRICE MD

Allergy and Immunology

Portland, Oregon

Provider NPI: 1437154226

Provider Information:
DR. KURSTEEN SALTER PRICE MD


Practice Location:
9701 SW BARNES RD STE 130  PORTLAND, OR 97225 US
Tel: 503-297-4779  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207KI0005X	Physicians Allergy & Immunology Clinical & Laboratory Immunology	OR	MD24108
N	207KI0005X	Physicians Allergy & Immunology	WA	MD00041653
N	207K00000X	Physicians Allergy & Immunology	WA	MD00041653
N	207KA0200X	Physicians Allergy & Immunology	OR	MD24108
N	207KA0200X	Physicians Allergy & Immunology	WA	MD00041653
Y	207K00000X	Physicians Allergy & Immunology	OR	MD24108

Other Provider Identifiers:

Issuer	Number	State	Type
	286454	OR	05

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin

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