Healthcare Provider Details

I. General information

NPI: 1053579011
Provider Name (Legal Business Name): KATIE ANNE STEINKE D.C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2444 NE DIVISION ST
GRESHAM OR
97030-6020
US

IV. Provider business mailing address

2444 NE DIVISION ST
GRESHAM OR
97030-6020
US

V. Phone/Fax

Practice location:
  • Phone: 503-667-1010
  • Fax:
Mailing address:
  • Phone: 503-667-1010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3807
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: