Individual
DR. SHARON A KUBIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ACNP-BC, CCRN
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-8417
(503) 494-4455
Mailing address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
169329
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
201503338NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0705781
—
MA
Enumeration date
07/19/2006
Last updated
01/08/2019
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