Individual
DAVID KIDD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12518 NE AIRPORT WAY, PORTLAND, OR 97230-1078
(503) 256-2992
Mailing address
PO BOX 735, LAKE OSWEGO, OR 97034-0335
(503) 490-4657
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301065060
MI
207R00000X
Internal Medicine Physician
7650
NV
207R00000X
Internal Medicine Physician
G59335
CA
207R00000X
Internal Medicine Physician
MD00030390
WA
207R00000X
Internal Medicine Physician
MD13533
HI
207R00000X
Internal Medicine Physician
Primary
MD18096
OR
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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