Individual
MS. ANITA MARIE KATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5410 S MACADAM AVE STE 255, PORTLAND, OR 97239-3850
(503) 764-9508
(503) 764-9558
Mailing address
120 S ORCHID CT, PORTLAND, OR 97219-4889
(503) 764-9508
(503) 764-9558
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
200250046NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200250046NP
OR
Other
Enumeration date
07/07/2006
Last updated
02/18/2021
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