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Organization

JAMES A KILGORE MD, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMY R (CLINIC MANAGER)
(503) 691-0364
Entity
Organization

Contact information

Practice address
19250 SW 65TH AVE STE 365, TUALATIN, OR 97062-7747
(503) 691-0364
(503) 612-6663
Mailing address
19250 SW 65TH AVE STE 365, TUALATIN, OR 97062-7747
(503) 691-0364
(503) 612-6663

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary

Other

Enumeration date
02/11/2011
Last updated
02/11/2011
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