KATIE O'HANLON DNP CNM NPI 1114515566

NPI Information

  • NPI: 1114515566
  • Provider Name: KATIE O'HANLON, DNP, CNM
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3530 SE 88TH AVE
    PORTLAND, OR
    ZIP 97266
  • Phone: (503) 772-4335

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NPI Details

Katie O'hanlon, DNP, CNM is a psychiatric/mental health nurse practitioner in Portland, OR with 3 years of experience. 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
1367A00000XAdvanced Practice Midwife202005237NP-PPOREGONNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health202005237NP-PPOREGONYes

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: 11/21/2025

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