Provider Demographics
NPI:1356598239
Name:BURGHER, KRISTIN JANEICE (MD)
Entity type:Individual
Prefix:DR
First Name:KRISTIN
Middle Name:JANEICE
Last Name:BURGHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:10258 SE 40TH AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97222-5841
Mailing Address - Country:US
Mailing Address - Phone:314-888-5233
Mailing Address - Fax:971-257-6845
Practice Address - Street 1:220 NE WEIDLER ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97232-1121
Practice Address - Country:US
Practice Address - Phone:314-888-5233
Practice Address - Fax:971-257-6845
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD151233207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine