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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHLEEN IRENE RODENBURG, PA-C

Active

KATHLEEN IRENE RODENBURG, PA-C is a Surgical Physician Assistant healthcare provider located in PORTLAND, Oregon. NPI 1003286360 is currently active in the NPPES registry. Verify at CMS.

Surgical Physician Assistant · PORTLAND, OR

Registration Details

NPI Number
1003286360
Provider Type
Individual
Gender
Female
NPI Issued
Sep 30, 2015 (10.894963587441 yrs)
Last Updated
Dec 22, 2021
Licenses
PA205646 (OR)
PA205646 (OR)

Practice Information

Address
11782 SW BARNES RD STE 300
PORTLAND, OR, 972255933
Browse OR providers · Browse ZIP 97225
Phone
5032145200
Fax
5039066613
Primary Specialty
Surgical Physician Assistant
363AS0400X
Additional Specialty
Surgical Physician Assistant

Other Surgical Physician Assistant Providers in PORTLAND, OR

Name Credential NPI
JENNIFER HOPE CHRISTIANSEN P.A. 1851394878
CAROLINE MAY-SAN FUNG P.A. 1558364489
MRS. PAULA DEANNE DIETSCH KUIPER PA-C 1508869157
CAROLYN ANNE FRANCIS PA-C 1790780401
CYNTHIA ANN BOHAN PAC 1992797039
KRISTINE JOST WINDOM PAC 1841282357
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.