| Katherine Elizabeth Staley, OTD, OTR/L | |
|
2701 Nw Vaughn St, Portland, OR 97210-5311 | |
| (503) 499-5200 | |
| Not Available |
| Full Name | Katherine Elizabeth Staley |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 2701 Nw Vaughn St, Portland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174005870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 366304 (Oregon) | Primary |
| Provider Name | Kaiser Foundation Health Plan Of The Northwest |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040220000099 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Elizabeth Staley, OTD, OTR/L 3516 Ne 78th Ave, Portland, OR 97213-6408 Ph: (425) 248-3757 | Katherine Elizabeth Staley, OTD, OTR/L 2701 Nw Vaughn St, Portland, OR 97210-5311 Ph: (503) 499-5200 |
Ms. Margaret Wolf, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 707 Sw Gaines St, Portland, OR 97239 Phone: 503-494-8095 | |
Steps 2 Grow Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2870 Nw Cornell Rd, Portland, OR 97210 Phone: 503-720-4634 Fax: 844-250-7399 | |
Pido Tran Maas, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9135 Sw Barnes Rd Ste 561, Portland, OR 97225 Phone: 503-216-2339 | |
Kari A Jones, M.S., OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 Phone: 503-802-5318 | |
Brandie Ettinger, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7204 Sw Durham Road, Suite 100, Portland, OR 97224 Phone: 503-941-9869 Fax: 503-352-5555 | |
Frank A Pilarski Iii, OTR/L, CDRS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239 Phone: 503-220-8262 | |
Ms. Linda Blue, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2743 Se 98th Ave, #13, Portland, OR 97266 Phone: 503-224-0952 |