Provider Demographics
NPI:1275612897
Name:KAPLAN, PAUL D (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:D
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9135 SW BARNES RD
Mailing Address - Street 2:# 963
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-6601
Mailing Address - Country:US
Mailing Address - Phone:503-297-2996
Mailing Address - Fax:503-292-8333
Practice Address - Street 1:9135 SW BARNES RD
Practice Address - Street 2:# 963
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6601
Practice Address - Country:US
Practice Address - Phone:503-297-2996
Practice Address - Fax:503-292-8333
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD12293207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR027599Medicaid
0000BHSZFMedicare ID - Type Unspecified
OR027599Medicaid