Individual
KAITLYN SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
8332 SE 13TH AVE, PORTLAND, OR 97202-7102
(503) 595-9300
Mailing address
8332 SE 13TH AVE, PORTLAND, OR 97202-7102
(503) 595-9300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD216906
OR
Other
Enumeration date
03/23/2021
Last updated
06/27/2024
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