EXCLUDEDPROVIDER
Individual Revocation

Katrina Ann Gotshall

Forest Grove, OR 97116

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Katrina Ann Gotshall of Forest Grove, OR is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of February 18, 2016.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Forest Grove, OR 97116
Exclusion date
February 18, 2016
Exclusion type
Revocation (1128b4)
Source dataset
May 2026

Record summary

Katrina Ann Gotshall appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Forest Grove, Oregon. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is February 18, 2016, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateFebruary 18, 2016
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Forest Grove, OR 97116. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Pharmacy Technician.

Other excluded providers in Forest Grove, OR

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Forest Grove, OR address.

Crystal Ann Coble Individual Felony Fraud
Forest Grove, OR · Felony conviction relating to health care fraud · Excluded Feb 2018
Adriana Ortiz-bazan Individual Felony Fraud
Forest Grove, OR · Felony conviction relating to health care fraud · Excluded Sep 2015
Alan D Beerbohm Individual Revocation
Forest Grove, OR · License revocation, suspension, or surrender · Excluded Apr 2010
Connie Lee Amey Individual Program Crime
Forest Grove, OR · Conviction of program-related crimes · Excluded Jul 2006
Crystal Jade Hopper Individual Patient Abuse
Forest Grove, OR · Conviction relating to patient abuse or neglect · Excluded Jul 2005
Rosanna Kim Newman Individual Program Crime
Forest Grove, OR · Conviction of program-related crimes · Excluded Apr 2000

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify with HHS-OIG Remove / correct this record

Related

More excluded individuals in Oregon More records in Forest Grove More license revocation, suspension, or surrender records