Individual provider · Type 1 NPI

Kathleen M. Zipse

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1013878636 Active

Practice location

3419 NE Sandy Blvd
Portland, OR 97232-1959

Call (503) 233-4543 Map

Mailing address

34 NE Ivy St
Portland, OR 97212-2036

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1013878636

Kathleen M. Zipse's National Provider Identifier is 1013878636, issued on Nov 21, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Nov 21, 2025.