Individual
KENT C TOLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24076 SE STARK ST STE 310, GRESHAM, OR 97030-3386
(503) 492-6510
Mailing address
24076 SE STARK ST STE 310, GRESHAM, OR 97030-3386
(503) 492-6510
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD18530
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059241
—
OR
01
—
340014753
MEDICARE RAILROAD
—
Enumeration date
05/11/2006
Last updated
04/23/2008
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