White, Kevin Patrick

White, Kevin Patrick is an individual health care provider with primary practice located at 3303 Sw Bond Ave # Ch5D , Portland OR 97239-4501. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. White, Kevin Patrick can be contacted via phone (503) 494-1375.

Contact Information

Primary practice address
3303 Sw Bond Ave # Ch5D Portland OR 97239-4501
Phone: (503) 494-1375
Fax: (503) 494-6844
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD26727 Oregon
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X MD26727 Oregon

Profile Details

NPI number 1447329719
LBN Legal business name White, Kevin Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated May 27th, 2009 - about 17 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 1447329719 NPPES
Oregon MEDICAID 240056

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