Provider Demographics
NPI:1952501744
Name:PEREZ, KIALING (MD)
Entity Type:Individual
Prefix:
First Name:KIALING
Middle Name:
Last Name:PEREZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1115 SE 164TH AVE
Mailing Address - Street 2:DEPT. 358
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-9324
Mailing Address - Country:US
Mailing Address - Phone:541-222-4500
Mailing Address - Fax:541-222-1786
Practice Address - Street 1:3333 RIVERBEND DR
Practice Address - Street 2:HYPERBARIC CENTER
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-8800
Practice Address - Country:US
Practice Address - Phone:541-222-4500
Practice Address - Fax:541-222-1786
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2016-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ORMD126188207RI0200X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine