=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508799826
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | POSITIVE MEDICINE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/05/2026
-----------------------------------------------------
Last Update Date | 06/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3942 SE HAWTHORNE BLVD
-----------------------------------------------------
City | PORTLAND
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97214-5242
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-386-9516
-----------------------------------------------------
Fax | 503-386-2831
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8106 SW 174TH TER
-----------------------------------------------------
City | BEAVERTON
-----------------------------------------------------
State | OR
-----------------------------------------------------
Zip | 97007-6893
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 503-386-9516
-----------------------------------------------------
Fax | 503-386-2831
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER AND PROVIDER
-----------------------------------------------------
Name | KATHI NORMAN
-----------------------------------------------------
Credential | DMSC PA-C
-----------------------------------------------------
Telephone | 503-386-9516
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------