Provider Demographics
NPI:1770756561
Name:BROOKFIELD, KATHLEEN F (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:F
Last Name:BROOKFIELD
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:
Other - Last Name:WEHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3181 SW SAM JACKSON PARK RD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-3011
Mailing Address - Country:US
Mailing Address - Phone:503-418-4200
Mailing Address - Fax:503-494-4473
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:503-418-4200
Practice Address - Fax:503-494-4473
Is Sole Proprietor?:No
Enumeration Date:2008-04-11
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA119755207VM0101X, 207V00000X
IAMD-49421207VM0101X, 207VX0000X, 207V00000X
WAMD60540020207VM0101X, 207V00000X
ORMD171007207V00000X, 207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
No207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology