Individual
DR. PRISCILLA KIM CODIGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-1164
(503) 494-5502
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-1164
(503) 494-5502
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
16690
HI
208M00000X
Hospitalist Physician
68867
MN
208M00000X
Hospitalist Physician
Primary
MD190066
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A761710
—
CA
Enumeration date
07/06/2006
Last updated
11/04/2024
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