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NPI Code Detail

MEDICARE: POSITIVE MEDICINE LLC

MEDICARE: POSITIVE MEDICINE LLC
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1508799826
Entity Type Code : Organization
Provider Name (Legal Business Name) : POSITIVE MEDICINE LLC
Provider Business Mailing Address
First Line : 8106 SW 174TH TER
Second Line :
City : BEAVERTON
State : OR
Zip : 97007-6893
Country : US
Telephone Number : 503-386-9516
Fax Number : 503-386-2831
Provider Business Practice Location Address
First Line : 3942 SE HAWTHORNE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97214-5242
Country : US
Telephone Number : 503-386-9516
Fax Number : 503-386-2831
Authorized Official
Title or Position : OWNER AND PROVIDER
Name : KATHI NORMAN
Credential : DMSC PA-C
Telephone Number : 503-386-9516
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “POSITIVE MEDICINE LLC ” Practice Location

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