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General NPI Number Information
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NPI Number | 1447159462
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Entity Type | Organization
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Legal Business Name | ANCHORED OTTER
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/06/2026
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Provider Practice Location Address
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Address Line | 5441 S MACADAM AVE STE R
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City | PORTLAND
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State | OR
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Zip | 97239-3822
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Country | US
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Telephone | 503-395-8495
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Fax | 866-882-0437
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Provider Business Mailing Address
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Address Line | PO BOX 431
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City | OREGON CITY
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State | OR
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Zip | 97045-0025
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Country | US
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Telephone | 971-368-1980
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Fax | 541-550-2908
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Authorized Official
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Title or Position | SOLE PROPRIETER / MEDICAL DIRECTOR
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Name | KATHERINE LATTIMER
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Credential | PMHNP-BC
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Telephone | 503-395-8495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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