Individual
KEVIN LORING WINTHROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3375 SW TERWILLIGER BLVD, PORTLAND, OR 97239-4146
(503) 494-7890
(503) 494-0470
Mailing address
3375 SW TERWILLIGER BLVD, PORTLAND, OR 97239-4146
(503) 494-7890
(503) 494-0470
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25331
OR
207RI0200X
Infectious Disease Physician
Primary
25331
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240073
—
OR
05
—
8457194
—
WA
01
—
R143119
MEDICARE ID#
OR
Enumeration date
06/23/2006
Last updated
01/16/2013
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