Individual
KATHERINE MARIE PISCITELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 13TH ST, HOOD RIVER, OR 97031-1204
(541) 387-6195
(541) 387-6329
Mailing address
1341 SE TENINO ST, PORTLAND, OR 97202-6645
(405) 664-3906
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201391470RN
OR
163W00000X
Registered Nurse
93889
OK
367500000X
Certified Registered Nurse Anesthetist
Primary
201600590CRNA-PP
OR
Other
Enumeration date
08/19/2013
Last updated
07/11/2018
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