Individual
DR. KATHRYN RENEE FOUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
19300 SW 65TH AVE, TUALATIN, OR 97062-7706
(503) 692-1212
Mailing address
19300 SW 65TH AVE, TUALATIN, OR 97062-7706
(503) 692-1212
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO192186
OR
390200000X
Student in an Organized Health Care Education/Training Program
PG177346
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500711973
—
OR
Enumeration date
04/07/2016
Last updated
07/22/2019
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