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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PORNTIP KIATSIMKUL, MD

Active Sole Proprietor

PORNTIP KIATSIMKUL, MD is a Infectious Disease healthcare provider located in CORVALLIS, Oregon. NPI 1205099082 is currently active in the NPPES registry. Verify at CMS.

Infectious Disease · CORVALLIS, OR

Registration Details

NPI Number
1205099082
Provider Type
Individual
Gender
Female
NPI Issued
Jul 2, 2008 (18.093046541773 yrs)
Last Updated
May 2, 2025
Licenses
ME132818 (FL)
MD222762 (OR)
Sole Proprietor
Yes

Practice Information

Address
3640 NW SAMARITAN DR STE 210
CORVALLIS, OR, 973303787
Browse OR providers · Browse ZIP 97330
Phone
5417685810
Primary Specialty
Infectious Disease
207RI0200X
Additional Specialty
Infectious Disease

Other Infectious Disease Providers in CORVALLIS, OR

Name Credential NPI
WILLIAM E MUTH MD 1598853822
ADAM CHRISTOPHER BRADY M.D. 1326334855
JILL M PROVAZNIK MD 1992185995
MELISSA ANNE WHITMAN DO 1487270575
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.