| Kathryn Flegel, Md | |
|
2250 Nw Flanders St Suite 103 Portland OR 97210-3443 | |
| (503) 222-1524 | |
| (503) 224-1880 |
| Full Name | Kathryn Flegel, Md |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 2250 Nw Flanders St, Portland, Oregon |
| Authorized Official Name and Position | Kathryn Flegel (OWNER) |
| Authorized Official Contact | 5032221524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Flegel, Md 3439 Ne Sandy Blvd Pmb 375 Portland OR 97232-1959 Ph: (503) 284-8841 | Kathryn Flegel, Md 2250 Nw Flanders St Suite 103 Portland OR 97210-3443 Ph: (503) 222-1524 |
| NPI Number | 1063468692 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 11/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063468692 | NPI | - | NPPES |
| 269126 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD13388 (Oregon) | Primary |
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