MS. KATHERINE PHUONG-NAM VO-DINH


Address: 11155 Ne Halsey Street, Rose City Urgent Care and Family Practice, Portland, OR 97220
Phone: 7078268264

MS. KATHERINE PHUONG-NAM VO-DINH (NPI# 1376849323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376849323
Entity Type Individual
Full Name MS. KATHERINE PHUONG-NAM VO-DINH
Other Name MRS. KATHERINE VO-DINH LOLLAR
Credential FNP-BC
Practice Address 11155 Ne Halsey Street
Rose City Urgent Care and Family Practice
Portland
OR 97220
Practice Telephone 7078268264
Mailing Telephone 5038949005
Mailing Fax Number 8055645087
Enumeration Date 2011-02-08
Last Update Date 2014-01-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse R116411 MD Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
201350063NP OR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
DEA ORNP MV2504997NP201350063 01

Office Location

Street Address 11155 NE HALSEY STREET
ROSE CITY URGENT CARE AND FAMILY PRACTICE
City PORTLAND
State OR
Zip Code 97220

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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1265081640 Christina Lee Nurse Practitioner 144 State St # 1, Portland, ME 04101-3776 2019-09-09
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1770145294 Cynthia Marie Martinez Nurse Practitioner 1145 Austin St, Portland, TX 78374-2013 2019-07-04
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Competitor

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City PORTLAND
Zip Code 97220

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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