Katelynne Marie Braff, CST, CSFA
Individual provider Active NPI Surgical Assistant · Stayton, OR
NPI 1679248397 · NPPES record last updated Aug 13, 2021
Key facts
- NPI
- 1679248397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Assistant 246ZC0007X
- License
- 202395 (OR)
- Practice address
- 1401 N 10TH Ave
Stayton, OR 97383-1399 - Phone
- (503) 769-2175
- NPI assigned
- Aug 13, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202395 | OR | MD | Surgical Assistant |
| 187696 | OR | MD | Surgical Technologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 187696 | OR | |
| Surgical Assistant | 246ZC0007X | 202395 | OR | Yes |
Addresses
Primary practice location
1401 N 10TH Ave
Stayton, OR 97383-1399
Mailing address
300 University St
Jefferson, OR 97352-9333
Phone (503) 910-6370
Other names
- Ms. Katie Marie Braff
Other providers in Stayton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.