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Individual

DR. KRISTINE ROESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2801 N GANTENBEIN AVE, LEGACY HEALTH, PORTLAND, OR 97227-1623
(503) 413-4278
(503) 413-5222
Mailing address
PO BOX 3777, LEGACY HEALTH, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD164090
OR

Other

Enumeration date
04/06/2009
Last updated
09/27/2013
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