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1013128545
KATHERINE ANN TACKER
PORTLAND, OR
NPI
1013128545
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: OR MD152451)
Enumeration Date
2007-05-25
Last Update Date
2011-10-03
Business Address
Dr. KATHERINE ANN TACKER M.D.
3181 SW SAM JACKSON PARK RD UHN-80
PORTLAND, OR 97239-3011
Phone number: 503-494-8205
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Mailing Address
Dr. KATHERINE ANN TACKER M.D.
3181 SW SAM JACKSON PARK RD UHN-80
PORTLAND, OR 97239-3011
Phone number: 503-494-8205
Copy
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