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Contact Information

KATHLEEN SIEBE, PNP
603 MEDICAL PARKWAY
ENTERPRISE, OR97828-1168
 Phone: 541-426-4502
 Fax: 541-426-6403
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for KATHLEEN SIEBE · (Female)

NPI Number 1750374021
Status Active
Credentials PNP
Entity Individual
Enumeration date 08/23/2005
Last updated 10/11/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 78040158
  • OR Medicaid 267989
  • OR Other 5966003 BCBS
  • OR Other J054904 PACIFIC SOURCE
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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