Individual
KATHERINE TEGTMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3333 RIVERBEND DR, SPRINGFIELD, OR 97477-8800
(541) 222-7300
Mailing address
PO BOX 460639, DENVER, CO 80246-0639
(303) 349-5647
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0189385
CO
163W00000X
Registered Nurse
201501837
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
201501838
OR
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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