Raetz, Kathleen M

Raetz, Kathleen M is an individual health care provider with primary practice located at 9701 Sw Barnes Rd Suite 299, Portland OR 97225. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Raetz, Kathleen M can be contacted via phone (503) 734-3700.

Contact Information

Primary practice address
9701 Sw Barnes Rd Suite 299 Portland OR 97225
Phone: (503) 734-3700
Fax: (503) 473-8462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 000028920N5 Oregon

Profile Details

NPI number 1184606733
LBN Legal business name Raetz, Kathleen M
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Mar 1st, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184606733 NPPES
Oregon MEDICAID 124169

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