MEDICARE: KATE STORMFIELD

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	363LF0000X	Family Nurse Practitioner	10031158	OR

General Provider Information

NPI Number	:	1770999427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATE STORMFIELD

Provider Business Mailing Address
First Line	:	5441 S MACADAM AVE # 4827
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97239-6106
Country	:	US
Telephone Number	:	503-907-7709
Fax Number	:

Provider Business Practice Location Address
First Line	:	5441 S MACADAM AVE # 4827
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97239-6106
Country	:	US
Telephone Number	:	503-907-7709
Fax Number	:	503-296-2264

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

Provider Enumeration Date	:	07/02/2014
Last Update Date	:	06/01/2026

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Directions to “ KATE STORMFIELD ” Practice Location

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