Healthcare Provider Details

I. General information

NPI: 1609139062
Provider Name (Legal Business Name): KATHERINE FITZPATRICK READY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE LYNN FITZPATRICK M.D.

II. Dates (important events)

Enumeration Date: 06/20/2012
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1460 G ST
SPRINGFIELD OR
97477-4112
US

IV. Provider business mailing address

PO BOX 825
SPRINGFIELD OR
97477-0141
US

V. Phone/Fax

Practice location:
  • Phone: 541-726-4000
  • Fax:
Mailing address:
  • Phone: 877-346-2211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD182530
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: