Kathleen Irene Rodenburg, PA-C - Medicare Physician Assistant in Portland, OR

Kathleen Irene Rodenburg, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Portland, Oregon. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Orthopedic And Fracture Clinic Pc and her current practice location is 11782 Sw Barnes Rd Ste 300, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 214-5200.

Kathleen Irene Rodenburg is licensed to practice in Oregon (license number PA205646) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1003286360.

Contact Information

Kathleen Irene Rodenburg, PA-C
11782 Sw Barnes Rd Ste 300,
Portland, OR 97225-5933
(503) 214-5200
(503) 906-6613



Provider's Profile

Full NameKathleen Irene Rodenburg
GenderFemale
SpecialityPhysician Assistant
Experience9 Years
Location11782 Sw Barnes Rd Ste 300, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathleen Irene Rodenburg graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1003286360
  • Provider Enumeration Date: 09/30/2015
  • Last Update Date: 12/22/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6800106253
  • Enrollment ID: I20211213002015

Medical Identifiers

Medical identifiers for Kathleen Irene Rodenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003286360NPI-NPPES
PA205646OtherORPA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA205646 (Oregon)Secondary
363AS0400XPhysician Assistant - Surgical PA205646 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence St Vincent Medical CenterPortland, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Orthopedic And Fracture Clinic Pc105221995345

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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. Kathleen Irene Rodenburg is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathleen Irene Rodenburg, PA-C
11782 Sw Barnes Rd Ste 300,
Portland, OR 97225-5933

Ph: (503) 214-5520
Kathleen Irene Rodenburg, PA-C
11782 Sw Barnes Rd Ste 300,
Portland, OR 97225-5933

Ph: (503) 214-5200

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Physician Assistant Nurses in Portland, OR

James Francis Deitle, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 501 N Graham St, Suite #580, Portland, OR 97227
Phone: 503-528-0704    Fax: 503-528-0708
David Pritchett, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1535 N Williams Ave, Portland, OR 97227
Phone: 503-238-2067    
Cindy M Fulton, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4400 Ne Halsey St Ste 102, Portland, OR 97213
Phone: 503-962-1000    
Molly Anderson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-4910    
Abby O'keefe, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4411 Sw Vermont St, Portland, OR 97219
Phone: 503-494-9992    Fax: 503-494-1967
Mr. Alvin Ashneel Prasad, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2730 Sw Moody Ave, Portland, OR 97201
Phone: 503-494-3633    

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