Kilpatrick, Paula Diane

Kilpatrick, Paula Diane is an sole proprietor health care provider with primary practice located at 4035 Sw Mercantile Drive Suite 101, Lake Oswego OR 97035-2587. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kilpatrick, Paula Diane can be contacted via phone (503) 697-3001.

Contact Information

Primary practice address
4035 Sw Mercantile Drive Suite 101 Lake Oswego OR 97035-2587
Phone: (503) 697-3001
Fax: (503) 697-0906
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD14112 Oregon

Profile Details

NPI number 1134179872
LBN Legal business name Kilpatrick, Paula Diane
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated Dec 31st, 2013 - about 11 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 1134179872 NPPES
Oregon MEDICAID 173674

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