Organization
KARA M KASSAY, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KARA M KASSAY MD (PRESIDENT)
(503) 675-1137
Entity
Organization
Contact information
Practice address
12511 SW 68TH AVE STE 200, PORTLAND, OR 97223-8298
(503) 675-1137
(503) 534-1137
Mailing address
12511 SW 68TH AVE STE 200, PORTLAND, OR 97223-8298
(503) 675-1137
(503) 534-1137
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
21729
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288213
—
OR
Enumeration date
09/27/2007
Last updated
01/07/2020
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