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Tara S. Kirkpatrick Graham, NNP
Neonatal Nurse Practitioner in Portland, Oregon
NPI 1740407683

Tara S. Kirkpatrick Graham is a Neonatal Nurse Practitioner based in Portland, OR and is specialized in Neonatal. Tara S. Kirkpatrick Graham practices in Portland, OR and has the professional credentials of NNP. The NPI Number for Tara S. Kirkpatrick Graham is 1740407683 and holds a License No. 200650152NP (Oregon).

The current practice location address for Tara S. Kirkpatrick Graham is 2801 N Gantenbein Ave, Portland, OR and can be reached out via phone at 503-413-1867 and via fax at 503-413-2580.

Location: 2801 N Gantenbein Ave, Portland, OR, 97227-1623
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Provider Profile Details
NPI Number
1740407683
Provider Name
Tara S. Kirkpatrick Graham
Credential
NNP
Provider Entity Type
Individual
Gender
Female
Address
2801 N Gantenbein Ave, Portland, OR, 97227-1623
Phone Number
503-413-1867
Fax Number
503-413-2580
Provider Enumeration Date
04/20/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
271141 05 OR
institution
Provider Business Practice Location Address Details
Address
2801 N Gantenbein Ave
City
State
Zip
97227-1623
Phone Number
503-413-1867
Fax Number
503-413-2580
person
Provider Business Mailing Address Details
Address
2801 N Gantenbein Ave
City
State
Zip
97227-1623
Phone Number
503-413-1867
Fax Number
503-413-2580
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
200650152NP (Oregon)
Definition
Definition to come...
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