Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | MD00041653 | WA |
Y | 207K00000X | Allergist & Immunologist | MD24108 | OR |
N | 207KA0200X | Allergist | MD00041653 | WA |
N | 207KA0200X | Allergist | MD24108 | OR |
NPI | 1437154226 |
---|---|
Provider Name | Dr. Kursteen Salter Price |
First Address | Portland, OR 97225-6688 |
Second Address | Portland, OR 97225-6688 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 21/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
286454 | (05) | OR |
H69807 | (02) |