Individual
KAMALIKA ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-6176
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
MD180970
OR
2084P0800X
Psychiatry Physician
4301101293
MI
2084P0800X
Psychiatry Physician
Primary
MD180970
OR
2084P0800X
Psychiatry Physician
MD61199162
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700134517
—
WA
Enumeration date
08/28/2012
Last updated
12/16/2022
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