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General NPI Number Information
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NPI Number | 1518442391
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Entity Type | Individual
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Provider Name | KATHERINE PAMELA RATHBUN CNP
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Gender | Female
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 1111 NE 99TH AVE STE 301
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City | PORTLAND
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State | OR
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Zip | 97220-9442
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Country | US
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Telephone | 503-963-2707
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Fax | 503-963-2802
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Provider Business Mailing Address
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Address Line | 541 NE 20TH AVE STE 225
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City | PORTLAND
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State | OR
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Zip | 97232-2895
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Country | US
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Telephone | 503-963-2801
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Fax | 503-963-2825
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN2327329
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN2327329
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 202002814NP-PP
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License Number State | OR
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 202002814NP-PP
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License Number State | OR
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