Individual
KATIE CONKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
301 NE KNOTT ST, PORTLAND, OR 97212-3014
(503) 253-3910
(503) 253-4297
Mailing address
301 NE KNOTT ST, PORTLAND, OR 97212-3014
(503) 253-3910
(503) 253-4297
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
105604
OK
363LF0000X
Family Nurse Practitioner
Primary
201810182NP-PP
OR
Other
Enumeration date
07/17/2014
Last updated
06/02/2023
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