Individual
KAREN CHRISTINE GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
211 NW LARCH AVE, REDMOND, OR 97756-1357
(541) 548-2164
Mailing address
211 NW LARCH AVE, REDMOND, OR 97756-1357
(541) 548-2164
(541) 598-3494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200540616RN
OR
363LF0000X
Family Nurse Practitioner
Primary
10004959
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5995986
DRIVERS LICENSE
OR
Enumeration date
01/05/2023
Last updated
05/04/2023
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