Active NPI 1821547985 Individual Practitioner Female Practitioner

Katherine Roose , CPNP

Nurse Practitioner - Pediatrics • Clackamas, OR

Professional Overview & Biography Verified Profile Summary

Katherine Roose, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Clackamas, OR. Practice services are available at 8645 SE SUNNYBROOK BLVD STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8645 Se Sunnybrook Blvd Ste 200

Clackamas, OR 970156841

Telephone 5036591694

Associated Practice Facility / Clinic

🏢 Rupa K. Shah, Md, Pc Facility NPI 1275579906

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Clackamas, OR

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 1.0 Yrs

State Avg: 15.6 Yrs

Regional Practice Density

5 Specialists

Practicing in Clackamas, OR (225 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-04-23

Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License OR 201608030NP-PP

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners

Megan Jensen , FNP-C

Nurse Practitioner - Family

NPI 1013437623

Family Nurse Practitioner (Certified)

Dr. Pooja Banginwar , DO

Pediatrics

NPI 1013571959

Doctor of Osteopathic Medicine (D.O.)

Michelle Houf

Counselor - Mental Health

NPI 1043700479

Nicole Jordan , MSW

Social Worker - Clinical

NPI 1073292090

Master of Social Work

Dr. Mary Brown , MD

Pediatrics

NPI 1073559704

Doctor of Medicine (M.D.)

Dr. Nancy Chen , MD

Pediatrics

NPI 1073967121

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events

📍

Updated Practice Location April 23, 2020

Registered at 8645 SE SUNNYBROOK BLVD STE 200, CLACKAMAS, OR 970156841 (Tel: 5036591694)

📍

Updated Business Mailing Address April 23, 2020

Registered at 8645 SE SUNNYBROOK BLVD STE 200, CLACKAMAS, OR 970156841 (Tel: 5036591694)

✅

NPI Profile Active September 06, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location September 06, 2017

Registered at 9290 SE SUNNYBROOK BLVD STE 200, CLACKAMAS, OR 970156777 (Tel: 5036591694)

📍

Updated Business Mailing Address September 06, 2017

Registered at 9290 SE SUNNYBROOK BLVD STE 200, CLACKAMAS, OR 970156777 (Tel: 5036591694)

👤

Provider Name / Credentials Updated September 06, 2017

Recorded as KATHERINE ROOSE, CPNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2017

Nurse Practitioner (License #201608030NP-PP in OR)

✅

NPI Profile Active September 29, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 29, 2016

Registered at 9290 SE SUNNYBROOK BLVD STE 200, CLACKAMAS, OR 970156777 (Tel: 5036591694)

📍

Updated Business Mailing Address September 29, 2016

Registered at 9290 SE SUNNYBROOK BLVD STE 200, CLACKAMAS, OR 970156777 (Tel: 5036591694)

👤

Provider Name / Credentials Updated September 29, 2016

Recorded as KATHERINE ZACKIN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 29, 2016

Nurse Practitioner (License #201608030NP-PP in OR)

🟢

Initial NPI Registration & Enumeration September 29, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1821547985

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 29, 2016

Last Update: April 23, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

8645 Se Sunnybrook Blvd Ste 200

Clackamas, OR 970156841

Phone: 5036591694

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.