Individual
DR. KATHRYN L HUYSSOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24988 SE STARK ST, STE 300, GRESHAM, OR 97030-8322
(503) 674-5818
(503) 674-6709
Mailing address
24988 SE STARK ST, STE 300, GRESHAM, OR 97030-8322
(503) 674-5818
(503) 674-6709
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD17970
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080697
—
OR
Enumeration date
08/22/2005
Last updated
12/19/2007
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