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Individual

KAREN KINNE GRIFFITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8750
Mailing address
2025 CARRIAGE WAY, WEST LINN, OR 97068-1950

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
075034895N3
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100429
OR
Enumeration date
08/03/2006
Last updated
07/08/2007
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