Individual
SWATI S KAKODKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1700 GEARY ST SE STE 400, ALBANY, OR 97322-6842
(541) 812-5500
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00047611
WA
207Q00000X
Family Medicine Physician
Primary
MD152532
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
293879
WA L&I
OR
05
—
500627227
—
OR
01
—
MD00047611
LICENSE
WA
01
—
P00893287
RR MEDICARE
OR
Enumeration date
11/07/2006
Last updated
01/23/2025
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