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Individual

KAITLIN MARIE EGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP-BC

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8122
(503) 494-1542
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8122
(503) 494-1542

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
201706420NP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201706420NP-PP
OREGON LICENSE
OR
Enumeration date
08/18/2017
Last updated
02/26/2026
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