KATHLEEN RAFTERY NPI 1932560448

NPI Information

  • NPI: 1932560448
  • Provider Name: KATHLEEN RAFTERY
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 200 NE MOTHER JOSEPH PL STE 330
    VANCOUVER, WA
    ZIP 98664
  • Phone: (360) 514-2990

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NPI Details

Kathleen Raftery is a surgical physician assistant in Vancouver, WA with 10 years of experience. Kathleen Raftery NPI is 1932560448. 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:

200 NE MOTHER JOSEPH PL STE 330
VANCOUVER, WA
ZIP 98664-288
Phone: (360) 514-2990
Fax: (360) 514-3508

The NPI 1932560448 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Critical care, first 30-74 minutes (HCPCS:99291)
  • Insertion of non-tunneled central venous tube for infusion (5 years or older) (HCPCS:36556)

The enumeration date for this NPI number is 3/10/2016 and was last updated on 5/1/2024.

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
1363AM0700XPhysician AssistantMedicalMED-PAC-REG-0001782MONTANANo
2363A00000XPhysician AssistantNo
3363A00000XPhysician AssistantPA61285554WASHINGTONNo
4363AS0400XPhysician AssistantSurgicalMED-PAC-LIC-91166MONTANAYes

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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