Individual
BRIAN K KITTAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16463 BOONES FERRY RD, LAKE OSWEGO, OR 97035-4207
(503) 635-3743
(503) 635-1508
Mailing address
16463 BOONES FERRY RD, LAKE OSWEGO, OR 97035-4207
(503) 635-3743
(503) 635-1508
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD16265
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152769
—
OR
Enumeration date
06/14/2006
Last updated
03/15/2016
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