Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Keith Leland Ironside Jr., MD

Individual provider Specialist · NPI 1639310774

Dr. Keith Leland Ironside Jr., MD is a Specialist in Tualatin, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6464 SW Borland Rd Ste B2
Tualatin, OR 97062-8876
Phone: (503) 612-9676
Fax: (866) 360-3540
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sleep Specialist (PhD) (primary) Taxonomy 173F00000X · Licence MD09750 (OR)
Specialist Taxonomy 174400000X · Licence MD09750 (OR)

Record details

NPI number1639310774
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 19, 2009
Last updated in NPPESSeptember 17, 2013

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