MEDICARE: DOREEN KAY SATTER R.N.

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	163WC1500X	Community Health Registered Nurse	079042391RN	OR

General Provider Information

NPI Number	:	1518124247
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOREEN KAY SATTER R.N.

Provider Business Mailing Address
First Line	:	PO BOX 3028
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-0391
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	13600 S CARUS RD
Second Line	:
City	:	OREGON CITY
State	:	OR
Zip	:	97045-9545
Country	:	US
Telephone Number	:	503-318-1209
Fax Number	:

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

Provider Enumeration Date	:	05/20/2008
Last Update Date	:	05/20/2008

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