IndividualActive
Caroline King-Widdall, M.D.
NPI 1336267707 · Family Medicine Physician · Keizer, OR
Provider details
- NPI number
- 1336267707
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 4301087707 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
5940 Ulali Dr Ne
Keizer, OR 97303-1500
Phone: (503) 813-2000
Approximate (ZIP-level) locationGet directions
Mailing address
5940 Ulali Dr Ne
Keizer, OR 97303-1500
Registry dates
- Enumerated
- 2007-03-26
- Last updated
- 2024-12-09
- Certified
- 2024-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.