Provider Demographics
NPI:1902856982
Name:KREINBRINK KATHER, NATALIE I (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:I
Last Name:KREINBRINK KATHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NATALIE
Other - Middle Name:KREINBRINK
Other - Last Name:KATHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1115 W BAY DR NW
Mailing Address - Street 2:SUITE 202
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-4658
Mailing Address - Country:US
Mailing Address - Phone:360-570-8010
Mailing Address - Fax:360-570-8009
Practice Address - Street 1:1115 W BAY DR NW
Practice Address - Street 2:SUITE 202
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98502-4658
Practice Address - Country:US
Practice Address - Phone:360-570-8010
Practice Address - Fax:360-570-8009
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-11
Last Update Date:2010-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD 47535207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8489254Medicaid
WAG8867607Medicare PIN
WAHO4199Medicare UPIN