Individual
MS. KRISTINE MARIE SIMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1225 NE 2ND AVE, PORTLAND, OR 97232
(503) 944-8000
(503) 944-8017
Mailing address
PO BOX 4399, PORTLAND, OR 97208-4399
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201460166NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP60113467
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
200950091
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9664137
—
WA
Enumeration date
07/15/2009
Last updated
11/19/2018
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