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NPI Code Detail

MEDICARE: KATJA S. AUSTIN FNP

MEDICARE: KATJA S. AUSTIN FNP
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner10036540OR
2363LP0808XPsychiatric/Mental Health Nurse Practitioner0990129CO
3363LF0000XFamily Nurse Practitioner70127714-NPWA
4363LF0000XFamily Nurse Practitioner10036540OR
5363LF0000XFamily Nurse PractitionerNP-990129CO
6163W00000XRegistered Nurse181628CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538309687
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATJA S. AUSTIN FNP
Provider Business Mailing Address
First Line : 325 W GOWE ST
Second Line :
City : KENT
State : WA
Zip : 98032-5892
Country : US
Telephone Number : 253-833-7444
Fax Number : 253-661-8631
Provider Business Practice Location Address
First Line : 12121 E BURNSIDE ST
Second Line :
City : PORTLAND
State : OR
Zip : 97216-3737
Country : US
Telephone Number : 971-361-7700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2009
Last Update Date : 06/15/2026

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