NPI Profile for KATHERINE M ROBERTS in WALDPORT, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1225064116 |
|
| Status | Active | |
| Credentials | FNCP | |
| Entity | Individual | |
| Enumeration date | 06/23/2006 | |
| Last updated | 03/05/2013 - About 13 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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KATHERINE M ROBERTS
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