KATHERINE MCKITRICK (NPI# 1841529179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841529179 |
| Entity Type | Individual |
| Full Name | KATHERINE MCKITRICK |
| Credential | DMD |
| Practice Address |
2458 Se Burnside Rd Gresham OR 97080-1247 |
| Practice Telephone | 5033957732 |
| Mailing Telephone | 5033957732 |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2018-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 8890 | SC | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
D10922 | OR | Dental Providers |
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 29 Bee St, Charleston, SC 294250001 | 8437922216 |
| Street Address |
2458 SE BURNSIDE RD |
| City | GRESHAM |
| State | OR |
| Zip Code | 97080-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073730784 | Bradley Fuller | Dentist | 2458 Se Burnside Rd, Gresham, OR 97080-1247 | 2007-04-20 |
| 1619255809 | Angie Agnes Rawley | Dentist | 2458 Se Burnside Rd, Gresham, OR 97080-1247 | 2011-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428554 | Jeffrey Henry Lucero | Social Worker | 4687 Se 1st Terrace, Gresham, OR 97080 | 2016-03-03 |
| 1124371059 | Nickole Turner | Massage Therapist | 2831 Se Palmquist Rd #157, Gresham, OR 97080 | 2012-10-16 |
| 1992061048 | Russell A Wendt | Pharmacist | 2497 Ne Roberts Ave, Gresham, OR 97080 | 2012-04-03 |
| 1821385584 | Angela West | Counselor | 320 Sw 6th Ave., Gresham, OR 97080 | 2011-07-01 |
| 1043543572 | Natalie Dawn Wilson | Behavioral Analyst | 97 Sw Riverview Place, Gresham, OR 97080 | 2009-09-16 |
| 1427205442 | Maria G Jolley | Dental Hygienist | 1267 Se Stapleton Loop, Gresham, OR 97080 | 2008-08-21 |
| 1073776738 | Sabrina Joye Hindman | Marriage & Family Therapist | 6370 Se 26th St, Gresham, OR 97080 | 2008-07-03 |
| 1669676193 | Kimberly Sabin | Nurse Practitioner | 2222 E Powell Blvd, Gresham, OR 97080 | 2007-06-11 |
| 1932223880 | Julie Elizabeth Croshaw | Pharmacist | 2444 E Powell Blvd, Gresham, OR 97080 | 2007-03-18 |
| 1508903261 | Lonetta Elise Davis | Adult Companion | 349 Se Plamblad, Gresham, OR 97080 | 2007-01-31 |
| Find all providers in zip 97080 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932296761 | Mark D. Danielson | Dentist | 1550 Nw Eastman Parkway, #265, Gresham, OR 97030 | 2006-10-05 |
| 1124548235 | Deca Dentistry | Dentist | 501 Ne Hood Ave Ste 235, Gresham, OR 97030-7346 | 2017-06-21 |
| 1558526368 | Ty Bradley Vaughan | Dentist | 320 Ne 5th St, Gresham, OR 97030-7308 | 2008-07-21 |
| 1902022783 | Endodontic Specialty Group, P.C. | Dentist | 1550 Nw Eastman Pkwy, Suite 265, Gresham, OR 97030-3858 | 2007-04-18 |
| 1265505408 | Jon Derek Yatsushiro | Dentist | 320 Ne 5th St, Gresham, OR 97030-7308 | 2006-11-16 |
| 1861561508 | Dale Ronald Barker | Dentist | 1550 Nw Eastman Pkwy, Suite 265, Gresham, OR 97030-3858 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760997803 | Valley Endodontics | Dentist | 2350 Nw Century Dr Ste 200, Corvallis, OR 97330-3495 | 2017-12-12 |
| 1396259040 | Scott L. Barry, Dmd, PC | Dentist | 9020 Sw Washington Square Rd Ste 570, Portland, OR 97223-4477 | 2017-11-16 |
| 1851764138 | Oregon Endodontics LLC | Dentist | 196 Catron St N, Monmouth, OR 97361-2303 | 2015-11-09 |
| 1386069151 | Tcd Endodontics | Dentist | 620 12th St. Se, Salem, OR 97301 | 2014-03-03 |
| 1114348612 | Xia LLC | Dentist | 85 Centennial Loop, Eugene, OR 97401-7907 | 2013-12-30 |
| 1568711257 | Alan Liesinger Dmd PC | Dentist | 375 Park Ave., Suite 7, Coos Bay, OR 97420-2242 | 2012-09-10 |
| 1548516958 | Ryan L Reese | Dentist | 8309 Sw Main St, Suite 100, Wilsonville, OR 97070-5550 | 2012-08-03 |
| 1609121599 | Marc A Rasmussen | Dentist | 2924 Siskiyou Blvd Ste 204, Medford, OR 97504-8197 | 2012-07-17 |
| 1770849838 | West Coast Endodontics, PC | Dentist | 9907 Se Division Street, Ste A, Portland, OR 87266 | 2012-04-03 |
| 1881915858 | Holly Hyunjung Park-nah | Dentist | 3835 Spring Blvd, Eugene, OR 97405-5806 | 2010-06-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KATHERINE MCKITRICK.
| 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.