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Contact Information

KARA M WIDERGREN
200 NE 20TH AVE STE 10
PORTLAND, OR97232-3094
 Phone: 503-849-2127
 Fax: 971-275-1929
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist, Other

246Z00000X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for KARA M WIDERGREN · (Female)

NPI # 1669349478
Status Active
Credentials
Entity Individual
Enumeration date 10/17/2025
Last updated 05/10/2026 - About a month ago
Sole proprietor 1 Yes
Identifiers
  • OR License # E-10261346
Hospital affiliation(s) Not Available
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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