Palm, Kathleen Marie
Palm, Kathleen Marie is an individual health care provider with primary practice located at 15950 Sw Millikan Way , Beaverton OR 97006. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Palm, Kathleen Marie can be contacted via phone (503) 646-0161.Contact Information
Primary practice address
15950 Sw Millikan Way
Beaverton OR 97006
Phone: (503) 646-0161
Fax: (503) 643-7459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD19206 | Oregon |
Profile Details
| NPI number | 1659463743 |
|---|---|
| LBN Legal business name | Palm, Kathleen Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Nov 17th, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659463743 | NPPES |
| Oregon | MEDICAID | 071693 |
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