Search › Oregon › 231H00000X
Kathleen Theilacker, AUD
NPI 1205348166 · on the registry since 2017
Practice
- Address
- 9280 Se Sunnybrook Blvd Ste 300
Clackamas, OR 97015 - Phone
- (503) 233-5548
- Fax
- (503) 230-1009
- Organisation at this address
- Reviance Portland, Llc
Clackamas Radiation Oncology CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 231H00000X
231H00000X
- Also registered as
- 2355S0801X
- Licence states on file
- CA, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon