Individual
LISA L KAUTZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7320 SW HUNZIKER RD STE 300, PORTLAND, OR 97223-2302
(503) 941-3033
Mailing address
18700 MADRONA DR, OREGON CITY, OR 97045-3854
(503) 616-6918
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201402043RN
OR
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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