Individual
KATHRYN VICTORIA PANWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
24950 SE STARK ST, GRESHAM, OR 97030-3379
(503) 674-1152
Mailing address
1400 NW IRVING ST, 527, PORTLAND, OR 97209-2210
(503) 222-1299
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
MD00043380
WA
2085R0001X
Radiation Oncology Physician
Primary
MD25025
OR
2085R0203X
Therapeutic Radiology Physician
MD00043380
WA
2085R0203X
Therapeutic Radiology Physician
MD25025
OR
Other
Enumeration date
10/06/2005
Last updated
12/01/2007
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