Kaitlyn Anne Stettnichs, MD
Family Medicine in Portland, OR. Individual provider (NPI-1).
NPI number1962082503
StatusActive
Last updated in NPPESOct 15, 2026
Details
- NPI
- 1962082503
- Entity type
- Individual (NPI-1)
- Name
- Kaitlyn Anne Stettnichs
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2021
- Certification date
- Oct 15, 2026
- Last updated
- Oct 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | MD224763 | OR | Yes |
Practice location
4411 Sw Vermont StPortland, OR 97219-1020
Phone 503-494-9992
Mailing address
4411 Sw Vermont StPortland, OR 97219-1020
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