person
Kathleen Siebe, PNP
Pediatric Nurse Practitioner in Enterprise, Oregon
NPI 1750374021

Kathleen Siebe is a Pediatric Nurse Practitioner based in Enterprise, OR and is specialized in Pediatrics. Kathleen Siebe practices in Enterprise, OR and has the professional credentials of PNP. The NPI Number for Kathleen Siebe is 1750374021 and holds a License No. 78040158 (Oregon).

The current practice location address for Kathleen Siebe is 603 Medical Parkway, Enterprise, OR and can be reached out via phone at 541-426-4502 and via fax at 541-426-6403.

Location: 603 Medical Parkway, Enterprise, OR, 97828-1168
person
Provider Profile Details
NPI Number
1750374021
Provider Name
Kathleen Siebe
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
603 Medical Parkway, Enterprise, OR, 97828-1168
Phone Number
541-426-4502
Fax Number
541-426-6403
Provider Enumeration Date
08/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5966003 01 OR BCBS
J054904 01 OR PACIFIC SOURCE
267989 05 OR
institution
Provider Business Practice Location Address Details
Address
603 Medical Parkway
City
State
Zip
97828-1168
Phone Number
541-426-4502
Fax Number
541-426-6403
person
Provider Business Mailing Address Details
Address
603 Medical Parkway
City
State
Zip
97828-1168
Phone Number
541-426-4502
Fax Number
541-426-6403
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
78040158 (Oregon)
Definition
Definition to come...
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