Individual
KATHLEEN BALAZY JAFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
KAISER PERMANENTE INTERSTATE RADIATION ONCOLOGY, 3620 N INTERSTATE AVE, PORTLAND, OR 97227-9722
(503) 280-2931
Mailing address
3620 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(800) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
203975
OR
2085R0001X
Radiation Oncology Physician
MD.MD.61148904
WA
Other
Enumeration date
04/23/2015
Last updated
07/16/2021
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