Individual provider · Type 1 NPI

Kara M. Widergren

Other Specialist/Technologist · Portland, OR

NPI number 1669349478 Active

Practice location

200 NE 20th Ave Ste 10
Portland, OR 97232-3094

Fax (971) 275-1929

Mailing address

2626 SE 59th Ave
Portland, OR 97206-1448

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000XE-10261346 (OR)
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

7 other providers at this address

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About NPI 1669349478

Kara M. Widergren's National Provider Identifier is 1669349478, issued on Oct 17, 2025. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Portland, OR. The record was last updated on May 10, 2026.