Individual provider · Type 1 NPI

Katie L. Ketterling-Thornburg, APRN, FNP-C

Family Nurse Practitioner · Gresham, OR

NPI number 1114489093 Active

Practice location

440 NW Division St
Gresham, OR 97030-5506

Call (503) 215-9500 Map

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	NUR-APRN-LIC-145742 (MT)
Family Nurse Practitioner Primary	363LF0000X	10025675 (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1114489093

Katie L. Ketterling-Thornburg, APRN, FNP-C's National Provider Identifier is 1114489093, issued on Apr 1, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gresham, OR. The record was last updated on Sep 30, 2024.