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Individual

THOMAS LLOYD KASTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1321 NE 99TH AVE, SUITE 100, PORTLAND, OR 97220-9437
(503) 215-9900
(503) 215-4025
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD24733
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0177772
WA DEPT. OF L&I
WA
05
297601
OR
05
8376741
WA
Enumeration date
02/22/2006
Last updated
03/06/2015
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