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Contact Information

KATHRYN V PANWALA, MD
24950 SE STARK ST
GRESHAM, OR97030-3379
 Phone: 503-674-1152
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Radiation Oncology

2085R0203X
Indicates primary specialty

NPI Profile & details for KATHRYN V PANWALA · (Female)

NPI Number 1972591618
Status Active
Credentials MD
Entity Individual
Enumeration date 10/06/2005
Last updated 12/01/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD25025
  • WA License # MD00043380
Hospital affiliation(s)
  • LEGACY GOOD SAMARITAN MEDICAL CENTER - (Acute Care)
    1015 NW 22ND AVENUE, W121
    PORTLAND, OR 97210
  • LEGACY MOUNT HOOD MEDICAL CENTER - (Acute Care)
    24800 SE STARK STREET
    GRESHAM, OR 97030
  • OHSU HOSPITAL AND CLINICS - (Acute Care)
    3181 SW SAM JACKSON PARK ROAD
    PORTLAND, OR 97239
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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