Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHERINE KELLY FOSSETTA, PHYSICIAN ASSISTANT
Active Sole ProprietorKATHERINE KELLY FOSSETTA, PHYSICIAN ASSISTANT is a Student (Health Education/Training) healthcare provider located in PORTLAND, Oregon. NPI 1013758911 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · PORTLAND, OR
Registration Details
- NPI Number
- 1013758911
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 4, 2024 (2.3989664949826 yrs)
- Last Updated
- Jun 4, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
2730 S MOODY AVEPORTLAND, OR, 972015042Browse OR providers · Browse ZIP 97201
- Phone
- 5034949645
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DUANE ANSEL DUEY | ATC-R | 1275597460 |
| MS. ALISON CAMILLE PERRY | M.S. | 1528155801 |
| MS. KATHERIN THOMSON VAN DOREN | MA COUNSELING ART TX | 1780730705 |
| ROBERT D SHINNEY | STUDENT | 1164578522 |
| MS. DENISE MICHELE MCGRATH | — | 1154467983 |
| MISUZU YUASA | M.D. | 1861533978 |
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.