Edstrom, Katherine Felicia
Edstrom, Katherine Felicia is an sole proprietor health care provider with primary practice located at 5100 S Macadam Ave Ste 200 , Portland OR 97239-3827. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Edstrom, Katherine Felicia can be contacted via phone (971) 202-5500.Contact Information
Primary practice address
5100 S Macadam Ave Ste 200
Portland OR 97239-3827
Phone: (971) 202-5500
Fax: (971) 202-5555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 201905490NP-PP | Oregon |
Profile Details
| NPI number | 1043862550 |
|---|---|
| LBN Legal business name | Edstrom, Katherine Felicia |
| Credentials | AGNP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 15th, 2019 |
| Last updated | May 17th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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