Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Katie L Ketterling-Thornburg, APRN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1114489093

Katie L Ketterling-Thornburg, APRN, FNP-C is a Nurse Practitioner in Gresham, Oregon. Qualified in 2020, 6 years ago. Practices with Providence Health and Services Oregon, a 1,426-clinician group and accepts Medicare assignment. Licensed in Montana and Oregon.

Years since qualifying
6
Licensed in
MT, OR
In the registry since
2019
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

440 NW Division St
Gresham, OR 97030-5506
Phone: (503) 215-9500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10025675 (OR)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence NUR-APRN-LIC-145742 (MT)

Record details

NPI number1114489093
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , FNP-C
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESSeptember 30, 2024
Certification dateSeptember 30, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Providence Health And Services Oregon — 1426 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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