Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | LP01227 | RI |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD166556 | OR |
NPI | 1144486507 |
---|---|
Provider Name | Karen Archabald |
First Address | Portland, OR 97208-3777 |
Second Address | Portland, OR 97227 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2008 |
Last Update Date | 09/11/2018 |