Individual
JUDY KLOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 MOLALLA AVE STE 100, PACIFIC MEDICAL GROUP, OREGON CITY, OR 97045
(503) 656-5273
Mailing address
6 CENTERPOINTE DR., STE 200, PACIFIC MEDICAL GROUP, LAKE OSWEGO, OR 97035
(503) 797-2254
(503) 914-0335
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
200250011NP
OR
363LF0000X
Family Nurse Practitioner
Primary
200250011NPPP
OR
Other
Enumeration date
05/25/2006
Last updated
06/02/2014
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