Kathleen Jennifer Wilder in Portland - Obstetrics & Gynecology

Kathleen Jennifer Wilder - NPI 1861609521

Kathleen Jennifer Wilder is a Obstetrics & Gynecology in Portland, Oregon. Kathleen Jennifer Wilder practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Kathleen Jennifer Wilder is 1861609521. The last update date is 2011-12-30.

Kathleen Jennifer Wilder's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034949000 and fax number 5034942391. The mailing address for Kathleen Jennifer Wilder is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen Jennifer Wilder
Address 3181 Sw Sam Jackson Park Rd, Portland, Oregon
Phone Number 5034949000
Fax Number 5034942391
Sole Proprietor N
Credentials MD MHS

NPI Number Detail

NPI Number 1861609521
Provider Enumeration Date 2007-05-16
Last Updated Date 2011-12-30

Provider Mailing Address Detail

Address 3181 Sw Sam Jackson Park Rd
City Portland
State Oregon (OR)
Post Code 972393011
Phone Number 5034949000
Fax Number 5034942391

Provider's Primary Taxonomy Detail

Speciality Obstetrics & Gynecology
Taxonomy 207V00000X
Licence No MD25779
Definition:
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
68171731 CO --
71557270 NM --
256334 AZ --

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FAQs about Kathleen Jennifer Wilder

What is the unique provider identifier assigned to Kathleen Jennifer Wilder?

The Kathleen Jennifer Wilder has been issued the NPI (National Provider Identifier) 1861609521 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Kathleen Jennifer Wilder?

The Kathleen Jennifer Wilder is situated at 3181 Sw Sam Jackson Park Rd, in the city of Portland, state of OR, with the zip code 972393011.

What is the Kathleen Jennifer Wilder's area of specialization and corresponding taxonomy classification?

The Kathleen Jennifer Wilder's specialty field is Obstetrics & Gynecology, and it falls under the taxonomy code 207V00000X, which categorizes healthcare providers based on their specialties.

On what date was the 1861609521 assigned to Kathleen Jennifer Wilder?

The Kathleen Jennifer Wilder was issued its 1861609521 on 2007-05-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Kathleen Jennifer Wilder most recently updated or revised?

The information pertaining to Kathleen Jennifer Wilder, including its address, specialty, and other relevant details, was last updated or revised on 2011-12-30.

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