Individual
KORA VANEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
890 82ND DR BLDG B, GLADSTONE, OR 97027-1803
(503) 659-5515
Mailing address
590 E EXETER ST # A, GLADSTONE, OR 97027-1706
(503) 754-8048
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
201142808RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1004118
OR
Other
Enumeration date
12/27/2024
Last updated
03/18/2025
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