Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katherine Lattimer, PMHNP-BC

Individual provider Registered Nurse · NPI 1659923779

Katherine Lattimer, PMHNP-BC is a Nurse Practitioner in Portland, Oregon. Qualified in 2022, 4 years ago. Practices with Broadway Medical Clinic LLP, an 18-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2019
Specialties on file
4
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

4212 NE Broadway
Portland, OR 97213-1422
Phone: (503) 249-8787
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 10005847 (OR)
Registered Nurse Taxonomy 163W00000X · Licence 201403853RN (OR)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 201403853RN (OR)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 201403853RN (OR)

Record details

NPI number1659923779
Entity typeIndividual (Type 1)
GenderNot disclosed
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJuly 9, 2019
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Broadway Medical Clinic Llp — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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