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NPI Code Detail

MEDICARE: MICHELE MARIE CATHEY FNP

MEDICARE: MICHELE MARIE CATHEY FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner97006277OR
2363LF0000XFamily Nurse Practitioner097006277N1OR
3363LP2300XPrimary Care Nurse Practitioner95020407CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2097006277N1OTHERORNURSE PRACTITIONER STATE LICENSE
3NP95020407OTHERCANURSE PRACTITIONER LICENSE

General Provider Information

NPI Number : 1649261223
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE MARIE CATHEY FNP
Provider Business Mailing Address
First Line : 11376 SE LINWOOD AVE
Second Line :
City : MILWAUKIE
State : OR
Zip : 97222-2749
Country : US
Telephone Number : 503-866-3738
Fax Number :
Provider Business Practice Location Address
First Line : 333 1ST ST STE A
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94105-2661
Country : US
Telephone Number : 888-803-3370
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 08/28/2025

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