Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MD191001 | OR |
N | 208600000X | Surgeon | MD191001 | OR |
N | 2086S0120X | Pediatric Surgery | 52677 | AZ |
Y | 2086S0120X | Pediatric Surgery | MD191001 | OR |
NPI | 1518162874 |
---|---|
Provider Name | Dr. Katrine Margrethe Lofberg |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97239-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2007 |
Last Update Date | 14/09/2020 |