Organization
DR. PAULA D KILPATRICK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAULA D KILPATRICK MD (OWNER)
(503) 697-3001
Entity
Organization
Contact information
Practice address
4035 MERCANTILE DR, SUITE 101, LAKE OSWEGO, OR 97035-2546
(503) 697-3001
(503) 697-0906
Mailing address
4035 MERCANTILE DR, SUITE 101, LAKE OSWEGO, OR 97035-2546
(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
01
—
1134179872
INDIVIDUAL NPI#
—
Enumeration date
07/16/2006
Last updated
08/22/2020
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