Individual
KATHERINE MAYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6350 NE HALSEY ST, PORTLAND, OR 97213-4720
(503) 215-2669
Mailing address
6350 NE HALSEY ST, PORTLAND, OR 97213-4720
(503) 215-2669
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201904558NP-PP
OR
Other
Enumeration date
07/02/2018
Last updated
10/01/2021
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