KRISTINA M WAKEMAN
Individual Provider (NPI-1)
Active
Pathology, Anatomic Pathology
Provider Information
- NPI Number
1518385707- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3181 SW SAM JACKSON PARK RD, PORTLAND, OR, 972393011
- Phone
- (503) 494-8276
- Fax
- (503) 494-2025
Specialties & Taxonomies
Pathology, Clinical Pathology/Laboratory Medicine
License: WI #68931
Pathology, Anatomic Pathology
License: KY #TP207
Student in an Organized Health Care Education/Training Program
Pathology, Anatomic Pathology
Primary License: OR #MD214098