Individual
KATHLEEN JUDITH MCCANN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 N GRAHAM ST, SUITE 200, PORTLAND, OR 97227-1654
(503) 413-4488
(503) 413-1812
Mailing address
501 N GRAHAM ST, SUITE 200, PORTLAND, OR 97227-1654
(503) 413-4488
(503) 413-1812
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00488
OR
Other
Enumeration date
03/17/2006
Last updated
07/08/2007
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