Mcgonigle, Kathryn F

Mcgonigle, Kathryn F is an individual health care provider with primary practice located at 1015 Nw 22Nd Ave , Portland OR 97210-3025. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as her primary health care specialty. Mcgonigle, Kathryn F can be contacted via phone (503) 413-8654.

Contact Information

Primary practice address
1015 Nw 22Nd Ave Portland OR 97210-3025
Phone: (503) 413-8654
Fax: (503) 413-8655
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 743 Wisconsin
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MD204288 Oregon
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MD00040252 Washington

Profile Details

NPI number 1417042854
LBN Legal business name Mcgonigle, Kathryn F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Nov 8th, 2021 - about 5 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 1417042854 NPPES
Washington Other US2608092 AETNA SPECIALIST NUMBER
Washington Other 160053987 AETNA SPECIALIST NUMBER

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