KATHLEEN SIEBE PNP
NPI 1750374021
Nurse Practitioner - Pediatrics in Enterprise, OR

Active since August 23, 2005
603 MEDICAL PARKWAY, ENTERPRISE, OR 97828(541) 426-4502(541) 426-6403 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kathleen Siebe Pnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN SIEBE PNP (NPI 1750374021) is an individual pediatrics provider in Enterprise, Oregon, licensed in Oregon (78040158) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1750374021
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameKATHLEEN SIEBECredential: PNP
Location Address603 MEDICAL PARKWAYEnterprise, OR 97828-1168
Mailing Address603 Medical ParkwayEnterprise, OR 97828-1168 · (541) 426-4502 · Fax (541) 426-6403
Fax(541) 426-6403
Sole ProprietorNo
Enumeration DateAugust 23, 2005
Last NPPES UpdateOctober 11, 2013
NPI 1750374021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in OR · 78040158
603 MEDICAL PARKWAY, Enterprise, OR 97828

Other Identifiers 6

Other5966003OR · Bcbs
Medicare ID-Type Unspecified050WCGFJAOR
Medicare UPINS30756OR
Medicare NSC1103330001OR
OtherJ054904OR · Pacific Source
Medicaid267989OR

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
603 MEDICAL PARKWAY
ENTERPRISE, OR 97828
Family Medicine
603 MEDICAL PARKWAY
ENTERPRISE, OR 97828
Internal Medicine
603 MEDICAL PARKWAY
ENTERPRISE, OR 97828
Surgery
603 MEDICAL PARKWAY
ENTERPRISE, OR 97828

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Siebe's NPI number?

The NPI number for Kathleen Siebe is 1750374021. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Kathleen Siebe located?

Kathleen Siebe practices at 603 Medical Parkway, Enterprise, OR 97828. The listed phone number is (541) 426-4502.

What is Kathleen Siebe's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Kathleen Siebe was last updated on October 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.