Provider Demographics
NPI:1952414773
Name:KAHRHOFF, EDITH ALFREDDA (MD)
Entity type:Individual
Prefix:
First Name:EDITH
Middle Name:ALFREDDA
Last Name:KAHRHOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2875 NW STUCKI AVENUE
Mailing Address - Street 2:NORTHWEST PERMANENTE PC-WESTSIDE MEDICAL SPECIALITIES
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124
Mailing Address - Country:US
Mailing Address - Phone:971-310-3708
Mailing Address - Fax:
Practice Address - Street 1:2875 NW STUCKI AVENUE
Practice Address - Street 2:NORTHWEST PERMANENTE PC-WESTSIDE MEDICAL SPECIALITIES
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124
Practice Address - Country:US
Practice Address - Phone:971-310-3708
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD24553208800000X
WAMD00042309208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology