Individual
KATHRYN WOOD HOLMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE DC 7S, PORTLAND, OR 97239-3011
(503) 418-5750
(503) 418-5793
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE DC 7S, PORTLAND, OR 97239-3011
(503) 418-5750
(503) 418-5793
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
D56586
MD
2080P0202X
Pediatric Cardiology Physician
MD156159
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500638205
—
OR
Enumeration date
07/05/2006
Last updated
08/23/2012
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