Individual
KRISTEN FERNANDEZ-KONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
555 SE MARTIN LUTHER KING JR BLVD STE 105, PORTLAND, OR 97214-2595
(971) 266-0177
(855) 631-0578
Mailing address
2130 NW FRONT AVE APT 306, PORTLAND, OR 97209-1874
(971) 266-0177
(855) 631-0578
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202001075NP-PP
OR
Other
Enumeration date
06/16/2018
Last updated
06/11/2026
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