Provider Demographics
NPI:1841273174
Name:EMEIS, CATHY LYNN (PHD, CNM)
Entity type:Individual
Prefix:DR
First Name:CATHY
Middle Name:LYNN
Last Name:EMEIS
Suffix:
Gender:F
Credentials:PHD, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10482 SW COTTONWOOD ST
Mailing Address - Street 2:
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-8393
Mailing Address - Country:US
Mailing Address - Phone:503-686-8752
Mailing Address - Fax:
Practice Address - Street 1:3455 SW US VETERANS HOSPITAL RD. MAILCODE: SN-5S
Practice Address - Street 2:OREGON HEALTH & SCIENCE UNIVERSITY, SCHOOL OF NURSING
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239
Practice Address - Country:US
Practice Address - Phone:503-494-3873
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2016-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200850035NP367A00000X
CO83518163WW0101X, 163WX0002X, 163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Not Answered163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
Not Answered163WX0002XNursing Service ProvidersRegistered NurseObstetric, High-Risk
Not Answered163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient