IndividualActive
Alice King, MD
NPI 1194788752 · Pediatrics Physician · Clackamas, OR
Provider details
- NPI number
- 1194788752
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- L8768 (TX)
Practice location
8645 Se Sunnybrook Blvd # 200
Clackamas, OR 97015-6841
Phone: (503) 659-1694
Fax: (503) 659-8984
Mailing address
8645 Se Sunnybrook Blvd # 200
Clackamas, OR 97015-6841
Registry dates
- Enumerated
- 2006-04-06
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.