MEDICARE: CAITLIN SIMMONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246QC2700X	Cytotechnology Specialist/Technologist

General Provider Information

NPI Number	:	1275472730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAITLIN SIMMONS

Provider Business Mailing Address
First Line	:	4600 NE ALBERTA CT
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97218-1656
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 NE ALBERTA CT
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97218-1656
Country	:	US
Telephone Number	:	814-221-5709
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2026
Last Update Date	:	03/27/2026

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Directions to “ CAITLIN SIMMONS ” Practice Location

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