Individual
MRS. KATHLEEN A. MASK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
51671 E LANE DR, SCAPPOOSE, OR 97056-4006
(503) 318-8897
(503) 543-6444
Mailing address
51671 E LANE DR, SCAPPOOSE, OR 97056-4006
(503) 543-3333
(503) 543-6444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
077038822RN
OR
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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