Individual
KATIE HEINTZ STOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6594
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6594
(503) 494-4285
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q1306
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
DO183076
OR
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Q1306
TX
207RH0003X
Hematology & Oncology Physician
DO183076
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
338510601
—
TX
01
—
DO183076
STATE MEDICAL LICENSE
OR
Enumeration date
03/24/2010
Last updated
03/17/2018
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