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Mary Kuebrich, AGPCNP
Gerontology Nurse Practitioner in Tigard, Oregon
NPI 1477902617

Mary Kuebrich is a Gerontology Nurse Practitioner based in Portland, OR and is specialized in Gerontology. Mary Kuebrich practices in Tigard, OR and has the professional credentials of AGPCNP. The NPI Number for Mary Kuebrich is 1477902617 and holds a License No. 201604516NP-PP (Oregon).

The current practice location address for Mary Kuebrich is 12442 Sw Scholls Ferry Rd, Tigard, OR and can be reached out via phone at 503-216-9200. You can also correspond with Mary Kuebrich through the mailing address at PO BOX 3158, PORTLAND, OR - 97208-3158 (mailing address contact number: ).

Location: 12442 Sw Scholls Ferry Rd, Tigard, OR, 97208-3158
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Provider Profile Details
NPI Number
1477902617
Provider Name
Mary Kuebrich
Credential
AGPCNP
Provider Entity Type
Individual
Gender
Female
Address
12442 Sw Scholls Ferry Rd, Tigard, OR, 97208-3158
Phone Number
503-216-9200
Fax Number
Provider Enumeration Date
06/08/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500709519 05 OR
institution
Provider Business Practice Location Address Details
Address
12442 Sw Scholls Ferry Rd
City
State
Zip
97223-3396
Phone Number
503-216-9200
Fax Number
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Provider Business Mailing Address Details
Address
Po Box 3158
City
State
Zip
97208-3158
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
201604516NP-PP (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
201604516NP-PP (Oregon)
Definition
Definition to come...
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