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Contact Information

KATHLEEN M RAETZ, CNM
9701 SW BARNES RD
SUITE 299
PORTLAND, OR97225
 Phone: 503-734-3700
 Fax: 503-473-8462
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for KATHLEEN M RAETZ · (Female)

NPI # 1184606733
Status Active
Credentials CNM (Certified Nurse Midwife)
Entity Individual
Enumeration date 11/18/2005
Last updated 03/01/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 000028920N5
  • OR Medicaid 124169
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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