Mcquillan, Kathryn I

Mcquillan, Kathryn I is an individual health care provider with primary practice located at 3680 Nw Samaritan Dr , Corvallis OR 97330-3737. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mcquillan, Kathryn I can be contacted via phone (541) 754-1150.

Contact Information

Primary practice address
3680 Nw Samaritan Dr Corvallis OR 97330-3737
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD29262 Oregon

Profile Details

NPI number 1154547297
LBN Legal business name Mcquillan, Kathryn I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Jul 30th, 2014 - 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 1154547297 NPPES
Oregon MEDICAID 500607933

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