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Individual

DR. KASEYMICHELLE QUALMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, MS-RN, CPNP-PC

Contact information

Practice address
6924 NE SANDY BLVD, PORTLAND, OR 97213-5256
(503) 300-4111
Mailing address
6924 NE SANDY BLVD, PORTLAND, OR 97213-5256
(503) 300-4111

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202109196NP-PP
OR
363LP0200X
Pediatric Nurse Practitioner
220689
AZ

Other

Enumeration date
03/02/2021
Last updated
11/02/2021
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