Question 1

What type of a medical provider is Katie Conklin?

Accepted Answer

Katie Conklin is a Nurse Practitioner (Family).

Question 2

Where does Katie Conklin practice medicine?

Accepted Answer

Katie Conklin has the following practice address:301 NE KNOTT ST, PORTLAND, OR 97212-3014

Question 3

Does this provider have a license number?

Accepted Answer

Katie Conklin has 2 license numbers, including: License Number 105604 issued in Oklahoma.

Question 4

Does Katie Conklin accept Medicare?

Accepted Answer

We do not know if this provider accepts the Medicare-approved amount.

Question 5

Does Katie Conklin have any board certifications?

Accepted Answer

The provider does not have any board certifications.

Question 6

Is Katie Conklin a member of any Medical Groups?

Accepted Answer

Katie Conklin is affiliated with one medical group in the PORTLAND area, KNOTT STREET DERMATOLOGY PC.

Question 7

Does Katie Conklin participate in PECOS?

Accepted Answer

Yes, Katie Conklin participates in PECOS.

Question 8

What phone number can I call to contact Katie Conklin?

Accepted Answer

You can call the following number: (503)-253-3910

Question 9

Are there any exclusions against this provider?

Accepted Answer

We have not detected any Exclusions tied directly to Katie Conklin.

Question 10

Is Katie Conklin  affiliated with any hospitals?

Accepted Answer

The provider is not affiliated with any hospitals.

Question 11

When was this information last updated?

Accepted Answer

The CMS-based NPPES information was updated approximately 2 years ago (6/2/2023).

Taxonomy	State	Primary?
Nurse Practitioner (Family) - Taxonomy Code 363LF0000X	OR	Y
Nurse Practitioner (Family) - Taxonomy Code 363LF0000X	OK	N

Participates in PECOS:	YES
PECOS Individual Enrollment ID:	I20230517003579
PECOS Individual PAC ID:	2668792953
Eligible to order/refer Part B Clinical Laboratory and Imaging	Yes
Eligible to order/refer Durable Medical Equipment (DME)	Yes
Eligible to order/refer Home Health Agency (HHA)	Yes
Eligible to order/refer Power Mobility Devices (PMD)	Yes

Katie Conklin

Overview