Avison, Kathrine Elaine

Avison, Kathrine Elaine is an individual health care provider with primary practice located at 5050 Ne Hoyt Suite 469, Portland OR 97213-2984. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Avison, Kathrine Elaine can be contacted via phone (503) 231-7747.

Contact Information

Primary practice address
5050 Ne Hoyt Suite 469 Portland OR 97213-2984
Fax: (503) 231-7724
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10105 Oregon

Profile Details

NPI number 1124126636
LBN Legal business name Avison, Kathrine Elaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124126636 NPPES
Oregon MEDICAID 005066

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