Individual
MARIA S KLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
831 NW COUNCIL DR, SUITE 101, GRESHAM, OR 97030-3721
(503) 665-8176
(503) 665-8178
Mailing address
PO BOX 92900, PORTLAND, OR 97292-0900
(503) 665-8176
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201393371NP-PP
OR
363LC0200X
Critical Care Medicine Nurse Practitioner
18610
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316054737
GROUP NPI
CA
01
—
GR0079700
MEDICAL GROUP
CA
01
—
NP 18610
NURSE PRACTITIONER
CA
01
—
RN 557967
REGISTERED NURSE
CA
01
—
ZZZ13858Z
GROUP MEDICARE
CA
Enumeration date
10/28/2008
Last updated
08/28/2014
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