Individual provider · Type 1 NPI

Katherine M. Van de Coevering, RN/QMHP

Registered Nurse · Portland, OR

NPI number 1235872920 Active

Practice location

12360 E Burnside St
Portland, OR 97233-1042

Call (971) 279-4800 Map

Fax (971) 279-2051

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	None listed
Registered Nurse	163W00000X	RN61311920 (WA)
Registered Nurse Primary	163W00000X	201608013RN (OR)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1235872920

Katherine M. Van de Coevering, RN/QMHP's National Provider Identifier is 1235872920, issued on Apr 19, 2022. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Portland, OR. The record was last updated on Jul 17, 2023.