Individual
KATHLEEN ANNE DRAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, L475, PORTLAND, OR 97239
(503) 494-7967
Mailing address
3181 SW SAM JACKSON PARK RD, L475, PORTLAND, OR 97239
(503) 494-7967
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD166226
OR
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD166226
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2011
Last updated
07/19/2016
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