Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 5198243-1205 | UT |
Y | 207V00000X | Obstetrician & Gynecologist | MD25659 | OR |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD60026171 | WA |
NPI | 1124155007 |
---|---|
Provider Name | Dr. Katherine Mary Gesteland |
First Address | Portland, OR 97225-6652 |
Second Address | Portland, OR 97225-6652 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 17/02/2012 |