Individual
DR. KATE BENEDICT DEISSEROTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7000 SW VERMONT ST APT 305, PORTLAND, OR 97223-7568
(503) 866-7299
Mailing address
7000 SW VERMONT ST APT 305, PORTLAND, OR 97223-7568
(503) 866-7299
Taxonomy
Speciality
Code
Description
License number
State
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
—
OR
Other
Enumeration date
04/14/2007
Last updated
07/08/2007
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