Provider Demographics
NPI:1386695732
Name:REMBER, KATRENKA R (MD)
Entity type:Individual
Prefix:
First Name:KATRENKA
Middle Name:R
Last Name:REMBER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6 CENTERPOINTE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-8660
Mailing Address - Country:US
Mailing Address - Phone:503-797-2273
Mailing Address - Fax:503-234-8155
Practice Address - Street 1:13200 SW PACIFIC HWY
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223
Practice Address - Country:US
Practice Address - Phone:503-598-2000
Practice Address - Fax:503-639-0920
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2023-03-07
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Provider Licenses
StateLicense IDTaxonomies
ORMD15764207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
080155293OtherRR MEDICARE
OR079426Medicaid
BR1468253OtherDEA
OR104214Medicare PIN
080155293OtherRR MEDICARE