KATELYN DEIRDRE PAVLAT

PORTLAND, OR
NPI1790246486
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  MD217380)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-26
Last Update Date2024-11-20
Business Address
KATELYN DEIRDRE PAVLAT MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8211
Mailing Address
KATELYN DEIRDRE PAVLAT MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3098
Phone number: 503-494-8211