DAVID KIDD

PORTLAND, OR
NPI1336274075
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: OR  MD18096)
Additional Taxonomies207R00000X Internal Medicine
(Licence: CA  G59335)
207R00000X Internal Medicine
(Licence: HI  MD13533)
207R00000X Internal Medicine
(Licence: MI  4301065060)
207R00000X Internal Medicine
(Licence: NV  7650)
207R00000X Internal Medicine
(Licence: WA  MD00030390)
Enumeration Date2007-02-22
Last Update Date2007-07-08
Business Address
-- DAVID KIDD M.D.
12518 NE AIRPORT WAY
PORTLAND, OR 97230-1078
Phone number: 503-256-2992
Mailing Address
-- DAVID KIDD M.D.
PO BOX 735
LAKE OSWEGO, OR 97034-0335
Phone number: 503-490-4657