KATIE O'HANLON DNP CNM NPI 1114515566

NPI Information

NPI: 1114515566
Provider Name: KATIE O'HANLON, DNP, CNM
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
3530 SE 88TH AVE
PORTLAND, OR
ZIP 97266
Phone: (503) 772-4335
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Katie O'hanlon, DNP, CNM is a psychiatric/mental health nurse practitioner in Portland, OR. Katie O'hanlon, DNP, CNM NPI is 1114515566. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3530 SE 88TH AVE
PORTLAND, OR
ZIP 97266-396
Phone: (503) 772-4335
Fax: (503) 772-4337

The NPI 1114515566 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/31/2020 and was last updated on 11/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	367A00000X	Advanced Practice Midwife		202005237NP-PP	OREGON	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	202005237NP-PP	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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