Individual
KATHRYN ANN STOCKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 SW 13TH AVE, PORTLAND, OR 97205-1999
(503) 221-0161
Mailing address
800 SW 13TH AVE, PORTLAND, OR 97205-1999
(503) 221-0161
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA201614
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500790237
—
OR
Enumeration date
07/21/2010
Last updated
08/07/2023
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