Holmes, Kathryn Wood

Holmes, Kathryn Wood is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Mail Code Dc 7S, Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Holmes, Kathryn Wood can be contacted via phone (503) 418-5750.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Mail Code Dc 7S Portland OR 97239-3011
Phone: (503) 418-5750
Fax: (503) 418-5793
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D56586 Maryland
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X MD156159 Oregon

Profile Details

NPI number 1477584142
LBN Legal business name Holmes, Kathryn Wood
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Aug 23rd, 2012 - about 13 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 1477584142 NPPES
Oregon MEDICAID 500638205

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