Individual
KATHERINE BETH BORTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
30 MONUMENT RD STE 1100, YORK, PA 17403-5024
(717) 851-6454
(717) 851-1665
Mailing address
1803 MOUNT ROSE AVE, YORK, PA 17403-3026
(717) 851-1405
(717) 851-1665
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA053232
PA
363AM0700X
Medical Physician Assistant
TMA051810
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1593951
GATEWAY-WMG
PA
01
—
2606530
HIGHMARK BLUE SHIELD-WMG
PA
Enumeration date
09/13/2007
Last updated
08/05/2025
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