Individual
CAITLIN A SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4400 NE HALSEY ST STE 286, PORTLAND, OR 97213-1545
(503) 729-5814
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202108866NP-PP
OR
Other
Enumeration date
08/26/2021
Last updated
02/27/2025
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