| Doctor Name: | KATHLEEN MARY ROSE THURMAN |
| NPI Number: | 1821242330 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 200850128NP FNP-PP |
| Business Practice Address: | 110 Center Ave Molalla, OR - 970388134 |
| Business Phone Number: | 5035292273 |
| Business Fax Number: | |
| Mailing Address: | Po Box 3158, PORTLAND |
| State: | OR |
| Postal Code: | 972083158 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 11/11/2008 |
| NPI Last Update Date: | 10/24/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 200850128NP FNP-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: | |