Individual
KARINA MARIE SQUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7060
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201604168NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500712033
—
OR
Enumeration date
06/23/2016
Last updated
11/12/2021
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