person
Ms. Kathleen M Medwar, FNP
Family Nurse Practitioner in Portland, Oregon
NPI 1972892693

Kathleen M Medwar is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Kathleen M Medwar practices in Portland, OR and has the professional credentials of FNP. The NPI Number for Kathleen M Medwar is 1972892693 and holds a License No. 2263944 (Oregon).

The current practice location address for Kathleen M Medwar is 3181 Sw Sam Jackson Park Rd, Portland, OR and can be reached out via phone at 503-494-7772 and via fax at 503-418-3283.

Location: 3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
person
Provider Profile Details
NPI Number
1972892693
Provider Name
Kathleen M Medwar
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3181 Sw Sam Jackson Park Rd, Portland, OR, 97239-3011
Phone Number
503-494-7772
Fax Number
503-418-3283
Provider Enumeration Date
04/04/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0000023532 01 MA BMC
1004745 01 MA NHP
1303287 01 MA MBHP
042611055 01 MA TAX ID
500679358 05 OR
99618201 01 MA NETWORK HEALTH
1303287 05 MA
M18633 01 MA BCBS
institution
Provider Business Practice Location Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-7772
Fax Number
503-418-3283
person
Provider Business Mailing Address Details
Address
3181 Sw Sam Jackson Park Rd
City
State
Zip
97239-3011
Phone Number
503-494-7772
Fax Number
503-418-3283
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
2263944 (Massachusetts)
Definition
Definition to come...
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