Individual provider · Type 1 NPI

Kathryn Richelle Hale, CPNP-PC

Pediatric Nurse Practitioner · Woodburn, OR

NPI number 1467019091 Active

Practice location

2050 Progress Way
Woodburn, OR 97071-9764

Mailing address

422 SE 69th Ave
Portland, OR 97215-1339

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300X201810080NP-PP (OR)
Pediatric Nurse Practitioner Primary 363LP0200X201810080NP-PP (OR)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1467019091

Kathryn Richelle Hale, CPNP-PC's National Provider Identifier is 1467019091, issued on May 20, 2019. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Woodburn, OR. The record was last updated on May 20, 2019.