Individual
JAMES A KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19250 SW 65TH AVE #365, TUALATIN, OR 97062
(503) 691-0364
(503) 612-6663
Mailing address
19875 SW 49TH AVE, TUALATIN, OR 97062
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD13741
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
21950 1
—
OR
Enumeration date
11/20/2006
Last updated
07/08/2007
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