Individual
DR. KATHRYN ANN TODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
20110 SW ALEXANDER ST, ALOHA, OR 97006
(503) 649-3213
(503) 642-7818
Mailing address
PO BOX 5759, ALOHA, OR 97007
(503) 649-3213
(503) 642-7818
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD16676
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042072
—
OR
Enumeration date
11/07/2006
Last updated
06/16/2021
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