Individual
KATRINA MCPHERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1825 MAPLE ST, FOREST GROVE, OR 97116-1939
(503) 357-2136
Mailing address
2265 EXCHANGE ST, ASTORIA, OR 97103-3331
(503) 325-4321
(503) 325-4905
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD29316
OR
208000000X
Pediatrics Physician
ME89509
FL
261Q00000X
Clinic/Center
MD29316
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134146939
—
OR
05
—
269803000
—
FL
Enumeration date
11/02/2006
Last updated
04/18/2019
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