Provider Demographics
NPI:1982652475
Name:PATTINSON, KARA LAURE (MD)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:LAURE
Last Name:PATTINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1506 SW SPRING GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-4283
Mailing Address - Country:US
Mailing Address - Phone:503-892-9373
Mailing Address - Fax:
Practice Address - Street 1:1506 SW SAM JACKSON PARK ROAD,
Practice Address - Street 2:DC7P
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3098
Practice Address - Country:US
Practice Address - Phone:503-418-5457
Practice Address - Fax:503-418-5774
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-05
Last Update Date:2013-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD242432084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry