Individual
DR. KATARZYNA BARBARA IWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9925 SW NIMBUS AVE, #100, BEAVERTON, OR 97008-7591
(503) 535-8302
(855) 276-2456
Mailing address
9925 SW NIMBUS AVE, #100, BEAVERTON, OR 97008-7591
(503) 535-8302
(855) 276-2456
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
MD189597
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500753304
—
OR
Enumeration date
04/10/2012
Last updated
08/10/2020
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