Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KEITH LELAND IRONSIDE JR., M.D.
Active Sole ProprietorSleep Specialist · TUALATIN, OR
Registration Details
- NPI Number
- 1639310774
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 19, 2009 (17.092412842193 yrs)
- Last Updated
- Sep 17, 2013
- Licenses
-
MD09750 (OR)MD09750 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6464 SW BORLAND RDSUITE B2TUALATIN, OR, 970628876Browse OR providers · Browse ZIP 97062
- Phone
- 5036129676
- Fax
- 8663603540
- Primary Specialty
-
Sleep Specialist
173F00000X
- Additional Specialty
- Sleep Specialist
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.