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Dr. Caroline Louise King-widdall, MD
Family Medicine Physician in Keizer, Oregon
NPI 1336267707

Caroline Louise King-widdall is a Family Medicine Physician based in Keizer, OR. Caroline Louise King-widdall practices in Keizer, OR and has the professional credentials of MD. The NPI Number for Caroline Louise King-widdall is 1336267707 and holds a License No. 4301087707 (Oregon).

The current practice location address for Caroline Louise King-widdall is 5940 Ulali Dr Ne, Keizer, OR and can be reached out via phone at 503-813-2000.

Location: 5940 Ulali Dr Ne, Keizer, OR, 97303-1500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1336267707
Provider Name
Caroline Louise King-widdall
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5940 Ulali Dr Ne, Keizer, OR, 97303-1500
Phone Number
503-813-2000
Fax Number
Provider Enumeration Date
03/26/2007
Last Update Date
01/18/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
500622839 05 OR
institution
Provider Business Practice Location Address Details
Address
5940 Ulali Dr Ne
City
Keizer
State
Oregon
Zip
97303-1500
Phone Number
503-813-2000
Fax Number
person
Provider Business Mailing Address Details
Address
5940 Ulali Dr Ne
City
Keizer
State
Oregon
Zip
97303-1500
Phone Number
503-813-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
MD60644334 (Washington)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
4301087707 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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