Provider Demographics
NPI:1518165976
Name:POWELL, KATHERINE ANNE (RN, NP)
Entity Type:Individual
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First Name:KATHERINE
Middle Name:ANNE
Last Name:POWELL
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Gender:F
Credentials:RN, NP
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Other - First Name:
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Mailing Address - Street 1:101 SW MAIN ST
Mailing Address - Street 2:SUITE 1950
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97204-3228
Mailing Address - Country:US
Mailing Address - Phone:503-278-5665
Mailing Address - Fax:503-241-2367
Practice Address - Street 1:101 SW MAIN ST
Practice Address - Street 2:SUITE 1950
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-3228
Practice Address - Country:US
Practice Address - Phone:503-278-5665
Practice Address - Fax:503-241-2367
Is Sole Proprietor?:No
Enumeration Date:2007-07-06
Last Update Date:2016-04-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OR20125001363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health