Individual
KERRIN DEANN SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
38505 BROOTEN RD, PACIFIC CITY, OR 97135-8049
(503) 965-6555
Mailing address
1000 3RD ST, TILLAMOOK, OR 97141-3430
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201241786RN
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
201810071NP-PP
OR
Other
Enumeration date
10/05/2018
Last updated
11/06/2018
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