Individual
ELLEN ELIZABETH KERKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1925 NE STUCKI AVE, HILLSBORO, OR 97006-6945
(503) 906-5000
Mailing address
5734 NE GOING ST, PORTLAND, OR 97218-2635
(503) 936-0128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10005627
OR
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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