Individual
MIRANDA VALERIE KEEPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
5050 NE HOYT ST STE B55, PORTLAND, OR 97213-2957
(503) 233-5393
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201504321NP-PP
OR
Other
Enumeration date
08/03/2015
Last updated
06/09/2023
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