Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Irene Rodenburg, PA-C

Individual provider Physician Assistant · NPI 1003286360

Kathleen Irene Rodenburg, PA-C is a Physician Assistant in Portland, Oregon. Qualified in 2015, 11 years ago. Practices with Orthopedic and Fracture Clinic PC, a 56-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2015
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11782 SW Barnes Rd Ste 300
Portland, OR 97225-5933
Phone: (503) 214-5200
Fax: (503) 906-6613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 14795 Sw Murray Scholls Dr Ste 109, Beaverton, OR 97007-9230 — (503) 906-4301

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA205646 (OR)
Physician Assistant Taxonomy 363A00000X · Licence PA205646 (OR)

Record details

NPI number1003286360
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 30, 2015
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Orthopedic And Fracture Clinic Pc — 56 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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