Doctor Name: | MRS. KATHLEEN A RESSLER |
NPI Number: | 1508899790 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 200250163NPFNP-PP |
Business Practice Address: | 14450 Se Royer Rd Damascus, OR - 970898730 |
Business Phone Number: | 5036585521 |
Business Fax Number: | 5036585002 |
Mailing Address: | 14450 Se Royer Rd, DAMASCUS |
State: | OR |
Postal Code: | 970898730 |
Phone Number: | 5036585521 |
Fax Number: | 5036585002 |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 01/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 200250163NPFNP-PP |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |