Kathleen A Ressler, NP

Individual provider Active NPI Family Nurse Practitioner · Damascus, OR

NPI 1508899790 · NPPES record last updated Jan 25, 2013

Key facts

NPI
1508899790
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
200250163NPFNP-PP (OR)
Practice address
14450 SE Royer Rd
Damascus, OR 97089-8730
Phone
(503) 658-5521
Fax
(503) 658-5002
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200250163NPFNP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Health of Oregon LLC Past
since Jul 17, 2017
Accepting new patients
County of Clackamas Office of County Auditor Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 200250163NPFNP-PP OR Yes

Addresses

Primary practice location

14450 SE Royer Rd
Damascus, OR 97089-8730

Mailing address

14450 SE Royer Rd
Damascus, OR 97089-8730
Phone (503) 658-5521

Other names

  • Mrs. Kathleen A Ingraham Former name

Other providers in Damascus, OR

All providers in Damascus, OR · Family Nurse Practitioner in Oregon

Sources for this page

Verify at the official NPI Registry.