Roberts, Kathleen Anne
Roberts, Kathleen Anne is an individual health care provider with primary practice located at 2725 Sw Cedar Hills Blvd Ste 200 , Beaverton OR 97005-1435. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Roberts, Kathleen Anne can be contacted via phone (503) 352-6000.Contact Information
Primary practice address
2725 Sw Cedar Hills Blvd Ste 200
Beaverton OR 97005-1435
Phone: (503) 352-6000
Fax: (503) 352-6081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 95193472 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 5173 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | CNP211353 | Maine |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP60728469 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 201708253 | Oregon |
Profile Details
| NPI number | 1053307090 |
|---|---|
| LBN Legal business name | Roberts, Kathleen Anne |
| Credentials | DNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Jan 9th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053307090 | NPPES |
| Tennessee | MEDICAID | 3903423 |
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