Kathryn Marie McConkie

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

023387 Issued in OR

Practice address

21370 SW Langer Farms Pkwy Ste 138
Sherwood, OR 97140-9140

Phone

(503) 625-6247

NPI assigned

Jul 23, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500768000000",
    "number": "1083137988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 764",
            "city": "CARLTON",
            "state": "OR",
            "postal_code": "971110764",
            "telephone_number": "503-857-7935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21370 SW LANGER FARMS PKWY STE 138",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409140",
            "telephone_number": "503-625-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONKIE",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-23",
        "last_updated": "2017-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "023387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katlyn Marquess, LAC
• Bridget C Martin, MD
• Trevor Martin, DMD
• Makenzie Maurice, LMT
• Cristela Corazon McAravey, DNP-FNP C
• Melissa McMurry, MA, LPC, CADC I
• Kelly Jo Medeiros-Wheeler, LCSW
• Alyssa Gabrielle Menle, LMT
• Rebecca Ann Mickel, FNP
• Hannah Mickelson, PA

• Mechanotherapist in Sherwood, OR
• Providers in Sherwood, OR by specialty
• Mechanotherapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.