Provider Demographics
NPI:1134398407
Name:MCELHANEY, KATHERINE ROSE (PA-C, MS)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:ROSE
Last Name:MCELHANEY
Suffix:
Gender:F
Credentials:PA-C, MS
Other - Prefix:MISS
Other - First Name:KATHERINE
Other - Middle Name:ROSE
Other - Last Name:HOWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1455 NW IRVING ST STE 600
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-2277
Mailing Address - Country:US
Mailing Address - Phone:503-684-8252
Mailing Address - Fax:
Practice Address - Street 1:1455 NW IRVING ST STE 600
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-2277
Practice Address - Country:US
Practice Address - Phone:503-684-8252
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-21
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20031363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA61016303OtherPA-C LICENSE
OR194182OtherPA-C LICENSE
CA20031OtherPA-C LICENSE