Individual
DR. PAULA DIANE KILPATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4035 SW MERCANTILE DRIVE, SUITE 101, LAKE OSWEGO, OR 97035-2587
(503) 697-3001
(503) 697-0906
Mailing address
4035 SW MERCANTILE DRIVE, SUITE 101, LAKE OSWEGO, OR 97035-2587
(503) 697-3001
(503) 697-0906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD14112
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
173674
—
OR
Enumeration date
05/11/2006
Last updated
12/31/2013
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