Individual
KATHRYN K. SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
725 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7700
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201350122NP
OR
363LF0000X
Family Nurse Practitioner
ARNP9168978
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305765800
—
FL
Enumeration date
04/19/2006
Last updated
11/12/2021
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