Katherine Kampmann, L. AC

Individual provider Active NPI Acupuncturist · Stevenson, WA

NPI 1114634029 · NPPES record last updated Oct 31, 2022

Key facts

NPI
1114634029
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
AC61266550 (WA)
Practice address
155 NW Jordan Rd
Stevenson, WA 98648-6442
Phone
(503) 707-0620
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AC61266550WAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Great River LLC Acupuncturist Current
since May 7, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC61266550 WA Yes

Addresses

Primary practice location

155 NW Jordan Rd
Stevenson, WA 98648-6442

Mailing address

PO Box 1351
Stevenson, WA 98648-1351

Other providers in Stevenson, WA

All providers in Stevenson, WA · Acupuncturist in Washington

Sources for this page

Verify at the official NPI Registry.