Individual
DR. COLLIN S KAEDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 NW 14TH AVE, STE 300, PORTLAND, OR 97209-2601
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 2040, PORTLAND, OR 97208-2040
(503) 299-9906
(503) 225-9002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD10202
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD10202
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018671
—
OR
05
—
1516301
—
WA
Enumeration date
05/13/2006
Last updated
10/15/2007
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