Dr. Angela Kalisiak
Hematology & Oncology Hospice and Palliative Medicine
265 N Broadway St
Portland
, Oregon 97227-1800
Dr. Angela Kalisiak
Hematology & Oncology Hospice and Palliative Medicine
265 N Broadway St
Portland
, Oregon 97227-1800
(503) 528-5252
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About
Features
Specialties
- Hospice and Palliative Medicine
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Dr. Angela Kalisiak
- 265 N Broadway St
- Portland, OR
- Zip : 97227-1800
- Fax : (503) 528-5252
- Phone : (503) 280-1223
Second Address
- Dr. Angela Kalisiak
- 265 N Broadway St
- Portland, OR
- Zip : 97227-1800
- Fax : (503) 528-5252
- Phone : (503) 280-1223
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RH0002X | Hospice and Palliative Medicine | MD17578 | OR |
| N | 207RH0003X | Hematology & Oncology | MD17578 | OR |
National Provider Identifier
| NPI | 1386647147 |
|---|---|
| Provider Name | Dr. Angela Kalisiak |
| First Address | Portland, OR 97227-1800 |
| Second Address | Portland, OR 97227-1800 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2005 |
| Last Update Date | 23/02/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 040886 | (05) | OR |
| 1009145 | (05) | WA |
| E86500 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.