Individual
DR. KATHRYN L MENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
226 SE 8TH AVE, HILLSBORO, OR 97123-4218
(503) 601-7385
(503) 301-7325
Mailing address
328 W MAIN ST, SUITE 300, HILLSBORO, OR 97123-3967
(503) 352-8642
(503) 352-8658
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD172303
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD172303
OR LICENSE
OR
Enumeration date
03/22/2011
Last updated
08/20/2015
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