Robert L Kalez MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

006014 Issued in OR

Legal business name

ROBERT L KALEZ MD PC

Practice address

24900 SE Stark St
208
Gresham, OR 97030-3355

Phone

(503) 666-3030

Fax

(503) 666-3434

NPI assigned

Sep 2, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert L Kalez, M.D.

Title

President

Phone

(503) 666-3030

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1710110127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24900 SE STARK ST",
            "address_2": "208",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303355",
            "telephone_number": "503-666-3030",
            "fax_number": "503-666-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24900 SE STARK ST",
            "address_2": "208",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303355",
            "telephone_number": "503-666-3030",
            "fax_number": "503-666-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L KALEZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "KALEZ",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-666-3030",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OR",
            "license": "006014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urology Physician in Gresham, OR
• Providers in Gresham, OR by specialty
• Urology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.