Individual
ELIZABETH KAY BURKERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6027 SW KELLY AVE, PORTLAND, OR 97239-3732
(503) 260-5852
Mailing address
6027 SW KELLY AVE, PORTLAND, OR 97239-3732
(503) 260-5852
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200941767RN
OR
163W00000X
Registered Nurse
RN60117895
WA
Other
Enumeration date
04/22/2011
Last updated
04/22/2011
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