Individual
KATE RUSSELL WOODWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., M.P.H.
Contact information
Practice address
180 PARK AVE STE 1, PORTLAND, ME 04102-2927
(207) 874-2141
Mailing address
180 PARK AVE, PORTLAND, ME 04102-2957
(207) 874-2141
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
76454
GA
208000000X
Pediatrics Physician
Primary
MD26373
ME
Other
Enumeration date
04/05/2012
Last updated
06/16/2025
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