Individual
KATHLEEN M RAETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
9701 SW BARNES RD, SUITE 299, PORTLAND, OR 97225
(503) 734-3700
(503) 473-8462
Mailing address
9701 SW BARNES RD, SUITE 299, PORTLAND, OR 97225
(503) 734-3700
(503) 473-8462
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
000028920N5
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124169
—
OR
Enumeration date
11/18/2005
Last updated
03/01/2010
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