Metta Elizabeth Kohn Willey MD

NPI 1407066764 - Pediatrics - 208000000X

NPI Details
NPI 1407066764
Gender Female
Enumeration Date 05/23/2007
Last Updated 04/26/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
24988 SE STARK ST
SUITE 200
GRESHAM OR, 97030-8322, US
Phone (503) 667-8878
Fax (503) 667-0310
Business Location
24988 SE STARK ST
SUITE 200
GRESHAM OR, 97030-8322, US
Phone (503) 667-8878
Fax
Toxanomy
Taxonomy Code 208000000X
License State Oregon
License Number LL16142
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According to our database, Dr. Metta Elizabeth Kohn Willey MD NPI is 1407066764, taxonomy code is 208000000X and license number is LL16142, license state is located at Oregon. Metta Elizabeth Kohn Willey MD physically located at 24988 Se Stark St, Gresham OR, 97030-8322. NPI Number Metta Elizabeth Kohn Willey MD has the Individual type.

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1407066764 NPI number is provided on an as is basis without warranty of any kind. 1407066764 is maintained by the National Plan & Provider Enumeration System. The contents of Metta Elizabeth Kohn Willey MD are for informational purposes only.