Individual
KAITLYN ANNE STETTNICHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4411 SW VERMONT ST, PORTLAND, OR 97219-1020
(503) 494-9992
Mailing address
4411 SW VERMONT ST, PORTLAND, OR 97219-1020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A192428
CA
207Q00000X
Family Medicine Physician
Primary
MD224763
OR
Other
Enumeration date
04/08/2021
Last updated
07/15/2025
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