Individual
ALISSA CLARE KUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10330 SE 32ND AVE STE 205, MILWAUKIE, OR 97222-6594
(503) 513-8950
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PG210981
OR
390200000X
Student in an Organized Health Care Education/Training Program
PG210981
OR
Other
Enumeration date
10/02/2020
Last updated
06/16/2025
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