Individual
MRS. KATHLEEN ANN FUGLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MN, CNS, CDE
Contact information
Practice address
3710 SW US VETERANS HOSPITAL ROAD, PRIMARY CARE ROOM F 120, PORTLAND, OR 97207-1034
(503) 220-8262
(503) 721-7903
Mailing address
3710 SW US VETERANS HOSPITAL ROAD, PO BOX 1034, PORTLAND, OR 97207-1034
(503) 220-8262
(503) 721-7903
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
200270007CNS
OR
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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