Individual provider · Type 1 NPI

Kathleen Irene Rodenburg, PA-C

Surgical Physician Assistant · Portland, OR

NPI number 1003286360 Active

Practice location

11782 SW Barnes Rd Ste 300
Portland, OR 97225-5933

Call (503) 214-5200 Map

Fax (503) 906-6613

Other practice locations

  • 14795 SW Murray Scholls Dr Ste 109, Beaverton, OR 97007-9230 · (503) 906-4301

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA205646 (OR)
Surgical Physician Assistant Primary 363AS0400XPA205646 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1003286360

Kathleen Irene Rodenburg, PA-C's National Provider Identifier is 1003286360, issued on Sep 30, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Dec 22, 2021.