Individual
MS. KATHARINE GAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2006 SE ANKENY ST, PORTLAND, OR 97214-1622
(503) 502-3994
(503) 288-6760
Mailing address
8865 SW WHITE PINE LN, PORTLAND, OR 97225-2447
(503) 292-6495
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
080046020
OR
Other
Enumeration date
12/20/2006
Last updated
04/29/2016
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