Individual
KRISTEN M DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 257-2500
Mailing address
3181 SW SAM JACKSON PARK RD, CDW EM, PORTLAND, OR 97239-3098
(503) 494-7008
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
291515
MA
207P00000X
Emergency Medicine Physician
Primary
MD215019
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2019
Last updated
07/27/2023
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