Individual
ELIZABETH THOMASON KUTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6464 SW BORLAND RD, STE A-4, TUALATIN, OR 97062-8876
(503) 692-5737
(503) 692-5307
Mailing address
1473 LEE ST, LAKE OSWEGO, OR 97034-6033
(503) 387-3656
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
150941
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/04/2007
Last updated
09/09/2011
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