Individual
KEVIN PATRICK WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3303 SW BOND AVE # CH5D, PORTLAND, OR 97239-4501
(503) 494-1375
(503) 494-6844
Mailing address
3303 SW BOND AVE # CH5D, PORTLAND, OR 97239-4501
(503) 494-1375
(503) 494-6844
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD26727
OR
207ND0900X
Dermatopathology Physician
Primary
MD26727
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240056
—
OR
Enumeration date
11/08/2006
Last updated
05/27/2009
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