COURTNEY RAE KLUM (NPI# 1194345389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194345389 |
| Entity Type | Individual |
| Full Name | COURTNEY RAE KLUM |
| Practice Address |
110 Beavercreek Rd Ste 100 Oregon City OR 97045-4307 |
| Practice Telephone | 5036558471 |
| Practice Fax Number | 5036558595 |
| Mailing Telephone | 5036558471 |
| Mailing Fax Number | 5036558595 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
200940130RN | OR | Nursing Service Providers |
| Street Address |
110 BEAVERCREEK RD STE 100 |
| City | OREGON CITY |
| State | OR |
| Zip Code | 97045-4307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720017809 | Clackamas County | Clinic/Center | 110 Beavercreek Rd Ste 100, Oregon City, OR 97045-4307 | 2006-07-01 |
| 1982094645 | Rocio Petersen | Dietitian, Registered | 110 Beavercreek Rd Ste 100, Oregon City, OR 97045-4307 | 2015-02-02 |
| 1801178744 | Kyle Patrick Johnstone | Dental Hygienist | 110 Beavercreek Rd Ste 100, Oregon City, OR 97045-4307 | 2011-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528625621 | Dylan Wile | Physical Therapist | 19721 Or 213, Oregon City, OR 97045 | 2019-05-23 |
| 1952871576 | April Saylor | Dental Hygienist | 15530 S. Morel Dr, Oregon City, OR 97045 | 2018-11-27 |
| 1598251688 | Sara Noelle Wetten | Dental Assistant | 1900 Mclouglin Blvd #68, Oregon City, OR 97045 | 2018-07-02 |
| 1649761941 | Carol Ann Cranfill | Specialist | 1001 Molalla Ave. Ste 206, Oregon City, OR 97045 | 2018-05-22 |
| 1790286029 | Kathleen Walker | Registered Nurse | 110 Beaverceek Rd., Oregon City, OR 97045 | 2018-02-22 |
| 1174032429 | Amanda Brannin | Dental Hygienist | 15018 Pebble Beach Dr, Oregon City, OR 97045 | 2017-09-28 |
| 1003332669 | Clackamas Medical Supplies | Durable Medical Equipment & Medical Supplies | 2050 Beavercreek Rd. Ste 101-385, Oregon, OR 97045 | 2017-08-16 |
| 1154870129 | Staci S Meador | Nurse Practitioner | 1508 Division St Ste 200, Oregon City, OR 97045 | 2016-10-01 |
| 1821541939 | Samuel R. Sabo | General Practice | 18171 Waldow Rd., Oregon City, OR 97045 | 2016-07-26 |
| 1619339967 | Carly Chambers | Physical Therapist | 1630 S Beavercreeak Rd, Suite A, Oregon City, OR 97045 | 2016-03-25 |
| Find all providers in zip 97045 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009060 | Jaclyn Ann Mclaughlin | Registered Nurse | 500 Ne Multnomah St Ste 1006th, Portland, OR 97232-2023 | 2020-09-30 |
| 1184948358 | Trudy Lynn Au | Registered Nurse | 2925 N Willamette Blvd, Portland, OR 97217 | 2010-03-17 |
| 1184237935 | Brittney Tice | Registered Nurse | 5000 N Willamette Blvd, Portland, OR 97203-5743 | 2020-08-30 |
| 1083240295 | Jesse Edward Vander Heide | Registered Nurse | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-03-19 |
| 1912567082 | Teresa C Braus | Registered Nurse | 4400 Ne Halsey St Ste 200, Portland, OR 97213-1545 | 2019-06-19 |
| 1962971796 | Adria Felice Thomas | Registered Nurse | 2900 State St Ste 101, Medford, OR 97504-8458 | 2018-11-22 |
| 1023557477 | Julie Anne Larson | Registered Nurse | 3303 Sw Bond Ave, Portland, OR 97239-4501 | 2017-02-17 |
| 1043752777 | Heather Carey | Registered Nurse | 10100 Se Sunnyside Rd, Clackamas, OR 97015-8970 | 2016-11-11 |
| 1669828323 | Michelle Livingston | Registered Nurse | 3750 Chemawa Rd Ne, Salem, OR 97305-1119 | 2016-05-11 |
| 1942674171 | Brandi Koch | Registered Nurse | 51600 Huntington Rd, La Pine, OR 97739-8887 | 2015-11-27 |
| Find all providers with the same taxonomy | ||||
| City | OREGON CITY |
| Zip Code | 97045 |
Please comment or provide details below to improve the information on COURTNEY RAE KLUM.
| 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.