Individual
KRISTIN LYNN CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3273
(503) 418-2208
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3273
(503) 418-2208
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD219031
OR
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD219031
OR
Other
Enumeration date
04/18/2012
Last updated
06/17/2024
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