Individual
KATHRYN AMANDA TROSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1017 SW MORRISON ST STE 400, PORTLAND, OR 97205-2629
(503) 224-3300
Mailing address
32700 SE LEEWOOD LN UNIT 27R, BORING, OR 97009-9530
(503) 410-1751
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
BAP-E-10178089
OR
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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