Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 2158 | MN |
Y | 363LN0000X | Nurse Practitioner - Neonatal | 201805709NP-PP | OR |
N | 363LN0000X | Nurse Practitioner - Neonatal | CP000085 | SD |
NPI | 1023151131 |
---|---|
Provider Name | Kathy Schweitzer |
First Address | Portland, OR 97208-4399 |
Second Address | Portland, OR 97227 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2007 |
Last Update Date | 10/04/2019 |