Organization
KAUFMAN MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVAN MCKECHNIE (OFFICE MANAGER)
(503) 657-0074
Entity
Organization
Contact information
Practice address
1750 BLANKENSHIP RD STE 275, WEST LINN, OR 97068-5101
(503) 657-0074
(503) 657-0295
Mailing address
1750 BLANKENSHIP RD STE 275, WEST LINN, OR 97068-5101
(503) 657-0074
(503) 657-0295
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DO08427
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
C91767
—
OR
Enumeration date
04/21/2008
Last updated
04/21/2008
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