Katherine M Van De Coevering, RN/QMHP is a
Registered Nurse based in Portland, Oregon. Katherine M Van De Coevering is licensed to practice in Oregon (license number 201608013RN) and her current practice location is
12360 E Burnside St, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(971) 279-4800.
NPI number for Katherine M Van De Coevering is 1235872920 and her current mailing address is 1776 Sw Madison St, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235872920.
Healthcare Provider's Profile
Full Name | Katherine M Van De Coevering |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 12360 E Burnside St, Portland, Oregon |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235872920
- Provider Enumeration Date: 04/19/2022
- Last Update Date: 07/17/2023
Medical Identifiers
Medical identifiers for Katherine M Van De Coevering such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235872920 | NPI | - | NPPES |
500805925 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (Oregon) | Secondary |
163W00000X | Registered Nurse | RN61311920 (Washington) | Secondary |
163W00000X | Registered Nurse | 201608013RN (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine M Van De Coevering is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Katherine M Van De Coevering, RN/QMHP 1776 Sw Madison St, Portland, OR 97205-1715 Ph: (503) 224-1044 | Katherine M Van De Coevering, RN/QMHP 12360 E Burnside St, Portland, OR 97233-1042 Ph: (971) 279-4800 |
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