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Contact Information

KATHLEEN M MOFFITT, MD
10123 SE MARKET ST
PORTLAND, OR97216
 Phone: 503-257-2500
 Fax: 503-261-6790
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KATHLEEN M MOFFITT · (Female)

NPI # 1265880108
Status Active
Credentials MD
Entity Individual
Enumeration date 06/01/2016
Last updated 03/25/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD192867
Hospital affiliation(s)
  • ADVENTIST MEDICAL CENTER - (Acute Care)
    10123 SE MARKET STREET
    PORTLAND, OR 97216
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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