Kathleen Gregory in Portland - Family

Kathleen Gregory - NPI 1063560217

Kathleen Gregory is a Family in Portland, Oregon. Kathleen Gregory practices all healthcare services and medical treatments related to Family. The NPI Number for Kathleen Gregory is 1063560217. The last update date is 2011-12-06.

Kathleen Gregory's current location address is 3727 Ne Martin Luther King Jr Blvd, Portland, Oregon. You can contact this provider via phone number 5037754931 and fax number 5037887285. The mailing address for Kathleen Gregory is 3727 Ne Martin Luther King Jr Blvd, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen Gregory
Address 3727 Ne Martin Luther King Jr Blvd, Portland, Oregon
Phone Number 5037754931
Fax Number 5037887285
Sole Proprietor N
Credentials FNP

NPI Number Detail

NPI Number 1063560217
Provider Enumeration Date 2007-01-06
Last Updated Date 2011-12-06

Provider Mailing Address Detail

Address 3727 Ne Martin Luther King Jr Blvd
City Portland
State Oregon (OR)
Post Code 972121112
Phone Number 5037754931
Fax Number 5037887285

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No 080044677NP
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
9655952 WA --
231860 OR --

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FAQs about Kathleen Gregory

What is the unique 10-digit identifier code assigned to Kathleen Gregory by the Centers for Medicare & Medicaid Services?

The Kathleen Gregory has been issued the NPI (National Provider Identifier) 1063560217 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Kathleen Gregory's facilities are situated?

The facilities of Kathleen Gregory are physically located at the following address: 3727 Ne Martin Luther King Jr Blvd, Portland, OR, 972121112.

What is Kathleen Gregory's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Kathleen Gregory is Family, and the taxonomy code that classifies this field of practice is 363Lf0000X.

On what date did the Kathleen Gregory receive the assignment of its 1063560217 from the Centers for Medicare & Medicaid Services?

The Kathleen Gregory was issued its 1063560217 by the Centers for Medicare & Medicaid Services on 2007-01-06.

As of what date were the details pertaining to Kathleen Gregory last refreshed?

The information related to the Kathleen Gregory, including its address, specialty, and other relevant details, was last updated on 2011-12-06.

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