Spira, Katherine O

Spira, Katherine O is an individual health care provider with primary practice located at 3303 Sw Bond Ave Ste 9 , Portland OR 97239. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / General Practice, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Spira, Katherine O can be contacted via phone (503) 494-8573.

Contact Information

Primary practice address
3303 Sw Bond Ave Ste 9 Portland OR 97239
Phone: (503) 494-8573
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN.0200907 Colorado
Nursing Service Providers / General Practice 163WG0000X 201800605RN Oregon
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0992575-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201800777NP Oregon

Profile Details

NPI number 1346601754
LBN Legal business name Spira, Katherine O
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2016
Last updated Jan 8th, 2019 - about 6 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1346601754 NPPES
Colorado MEDICAID 9000135175

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