Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | MD173822 | OR |
NPI | 1194040139 |
---|---|
Provider Name | Dr. Kathleen Alison Dunham |
First Address | Vancouver, WA 98683-9591 |
Second Address | Vancouver, WA 98683-9591 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/04/2010 |
Last Update Date | 06/07/2016 |