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RICHARD J KONKOL M.D. PHD NPI 1417041989


NPI Information

NPI: 1417041989
Provider Name: RICHARD J KONKOL, M.D. PHD
Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Individual

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
3550 NORTH INTERSTATE AVE
MEDICAL OFFICE EAST
PORTLAND, OR
ZIP 97227
Phone: (503) 331-5040
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Richard J Konkol, M.D. PHD is a neurology with special qualifications in child neurology psychiatry neurology in Portland, OR. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. Richard J Konkol, M.D. PHD NPI is 1417041989. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3550 NORTH INTERSTATE AVE
MEDICAL OFFICE EAST
PORTLAND, OR
ZIP 97227-097
Phone: (503) 331-5040
Fax: (503) 331-5044

The enumeration date for this NPI number is 10/2/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyMD18039OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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