NPI 1003286360

Kathleen Irene Rodenburg, PAC

Practitioner Surgical Physician Assistant Portland, OR

Practice location

Address: 11782 SW Barnes Rd STE 300, Portland, OR 97225-5933
Phone: (503) 214-5200
Fax: (503) 906-6613

Registered specialties (2)

Surgical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence PA205646 (OR)

Other Physician Assistant providers in Oregon →

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA205646 (OR)

Registry record

NPI: 1003286360
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Sep 2015
Record last updated: 22 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.