Individual provider · Type 1 NPI

Kirstie Lauren Wilson-Panum, MD

Obstetrics & Gynecology Physician · Portland, OR

NPI number 1386910818 Active

Practice location

501 N Graham St Ste 550
Portland, OR 97227-2010

Call (503) 284-5220 Map

Fax (503) 284-4971

Mailing address

541 NE 20th Ave Ste 225
Portland, OR 97232-2895

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician 207V00000X264220-1 (NY)
Obstetrics & Gynecology Physician Primary 207V00000XMD171212 (OR)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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About NPI 1386910818

Kirstie Lauren Wilson-Panum, MD's National Provider Identifier is 1386910818, issued on Mar 29, 2012. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Portland, OR. The record was last updated on Nov 11, 2024.