CAROLINE LOUISE KING WIDDALL

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

Dr CAROLINE LOUISE KING WIDDALL is a female medical professional, specializing in Family Medicine. She graduated in 2005.

Contact

KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

5940 ULALI DR NE
KEIZER
OR
973031500

Tel: 8008132000

CAROLINE LOUISE KING WIDDALL Information

Npi 1336267707
Pac Id 0749323798
Professional Enrollment Id I20100825001157
Last Name KING WIDDALL
First Name CAROLINE
Middle Name LOUISE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2005
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
Group Practice Pac Id 5799688230
Number Of Group Practice Members 1287
Line 1 Street Address 5940 ULALI DR NE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City KEIZER
State OR
Zip Code 973031500
Phone Number 8008132000
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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