Individual
CLAIRE KINNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10330 SE 32ND AVE STE 325, MILWAUKIE, OR 97222-6656
(503) 416-1960
(503) 416-1959
Mailing address
7320 SW HUNZIKER RD STE 300, PORTLAND, OR 97223-2302
(503) 941-3077
(503) 747-7013
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201504673NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201504673NP-PP
OR LICENSE
OR
05
—
500692695
—
OR
Enumeration date
09/23/2015
Last updated
04/20/2020
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