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:
Health care specialties
| Specialty | Code | License # | 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 12 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 | 1477584142 | NPPES |
| Oregon | MEDICAID | 500638205 |
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