KATHERINE LATTIMER-RYNEAL (NPI# 1659923779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659923779 |
| Entity Type | Individual |
| Full Name | KATHERINE LATTIMER-RYNEAL |
| Other Name | KATHERINE LATTIMER |
| Credential | RN |
| Practice Address |
847 Ne 19th Ave Ste 100 Portland OR 97232-2684 |
| Mailing Address |
Po Box 8459 Portland OR 97207-8459 |
| Practice Telephone | 5032380769 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
201403853RN | OR | Nursing Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
201403853RN | OR | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON STATE BOARD OF NURSING | 201403853RN | 01 |
| Street Address |
847 NE 19TH AVE STE 100 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97232-2684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639112782 | Sherylyn Jayne Estlund | Naturopath | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2006-06-14 |
| 1477162717 | Lynda Long | Registered Nurse | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2020-07-22 |
| 1992326847 | William Paul Witmer | Adult Companion | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2020-05-01 |
| 1215569116 | Christale Shalonda Harris-agubata-okpara | Adult Companion | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2020-02-07 |
| 1659918886 | Derek Lee Ward | Adult Companion | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2019-12-06 |
| 1487291076 | Alexis Quinnay Davis | Adult Companion | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2019-12-03 |
| 1437791951 | Elizabeth Coleman | Adult Companion | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2019-10-16 |
| 1417599671 | Heather J Mcalpine | Adult Companion | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2019-10-09 |
| 1194376848 | Collin David Sanders | Peer Specialist | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2019-09-24 |
| 1992354062 | Misty Monroe | Case Manager/Care Coordinator | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2019-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881293215 | Oregon Change Clinic | Clinic/Center | 650 Ne Holladay Street, Suite 1600, Portland, OR 97232 | 2020-10-17 |
| 1154969947 | Lori Kristen Miracle | Acupuncturist | Kwan Yin Healing Arts Center East Inc, 3115 Ne Sandy Blvd. Suite 231, Portland, OR 97232 | 2019-12-12 |
| 1194285411 | Onampai Modina Soondarotok | Student in an Organized Health Care Education/Training Program | Ipp, Oregon Health & Science University, 2214 Lloyd Center, Portland, OR 97232 | 2019-03-22 |
| 1003399635 | Cathleen Nicole Wenberg | Social Worker | 1839 Ne Couch St, Portland, OR 97232 | 2018-09-10 |
| 1508350760 | Float North | Acupuncturist | 1617 Ne 17th Ave., Portland, OR 97232 | 2018-06-20 |
| 1629560719 | Rachael Lee Walters | Doula | 3005 Ne Hoyt St, Portland, OR 97232 | 2018-06-04 |
| 1225529431 | Jason Sutherland | Social Worker | 707 Ne Couch, Portland, OR 97232 | 2018-05-23 |
| 1770089245 | Richard Farwell Leman | Family Medicine | 800 Ne Oregon St., Suite 772, Portland, OR 97232 | 2018-04-03 |
| 1952803413 | Aleksandra Giedowyn Md PC | Family Medicine | 1923 Ne Broadway Street Suite 2, Portland, OR 97232 | 2018-03-01 |
| 1639680374 | Amanda Matteo | Counselor | 20 Ne 10th Ave, Portland, OR 97232 | 2017-10-20 |
| Find all providers in zip 97232 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747607 | Kendall Clayton Karch | Registered Nurse | 30 Ne Mlk Jr Blvd, Portland, OR 97232-2941 | 2019-12-12 |
| 1275810665 | Esther Gabrielle Rosengarten | Registered Nurse | 1020 Sw Taylor St Ste 745, Portland, OR 97205-2505 | 2011-11-14 |
| 1679890651 | Caroline Jones Redstone | Registered Nurse | 106 Sw Woods St, Portland, OR 97201-4739 | 2010-04-29 |
| 1053643775 | Diane Vines | Registered Nurse | 3880 Se 8th Ave, Suite 110, Portland, OR 97202-3772 | 2010-02-04 |
| 1013190081 | Kristin Lois Cummings | Registered Nurse | 5329 Ne Martin Luther King Blvd, Portland, OR 97211-3237 | 2007-12-12 |
| 1184818080 | Jacob Balinky | Registered Nurse | 3716 Ne Mlk Blvd, Portland, OR 97212-1111 | 2007-09-04 |
| 1467533778 | Patricia J. Osborne | Registered Nurse | 916 Sw King Ave, Suite 206, Portland, OR 97205-1303 | 2006-10-17 |
| 1780646430 | Marianne Decain Tarraza | Registered Nurse | 165 Lancaster St, Portland, ME 04101-2406 | 2006-04-06 |
| 1477162717 | Lynda Long | Registered Nurse | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2020-07-22 |
| 1447877352 | Shannon Barnicle | Registered Nurse | 62 Elm St, Portland, ME 04101-3091 | 2020-06-26 |
| Find all providers in PORTLAND | ||||
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| 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.