# KARA M KASSAY, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700073350
- **Authorized official:** DR. KARA M KASSAY MD (PRESIDENT)
- **Authorized official phone:** (503) 675-1137

## Contact information

- **Practice address:** 12511 SW 68TH AVE STE 200, PORTLAND, OR 97223-8298
- **Practice address phone:** (503) 675-1137
- **Practice address fax:** (503) 534-1137
- **Mailing address:** 12511 SW 68TH AVE STE 200, PORTLAND, OR 97223-8298
- **Mailing address phone:** (503) 675-1137
- **Mailing address fax:** (503) 534-1137

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 21729 | OR | Yes |

## Other

- **Enumeration date:** 09/27/2007
- **Last updated:** 01/07/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 288213 | — | OR |