Individual
KATHERINE J DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1040 NW 22ND AVE, SUITE 420, PORTLAND, OR 97210-3057
(503) 963-3100
(503) 459-5398
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200850015NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242538
—
OR
Enumeration date
03/24/2008
Last updated
10/24/2014
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