Organization
ONE FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN PRATT ND (PHYSICIAN/OWNER)
(503) 345-0039
Entity
Organization
Contact information
Practice address
6214 SE MILWAUKIE AVE, PORTLAND, OR 97202-5417
(503) 345-0039
(888) 391-6497
Mailing address
6214 SE MILWAUKIE AVE, PORTLAND, OR 97202-5417
(503) 345-0039
(888) 391-6497
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1736
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851610620
—
OR
Enumeration date
12/20/2011
Last updated
12/20/2011
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