Individual
KATHLEEN PATRICIA PERKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5150
Mailing address
15581 SW BLACK QUARTZ ST, BEAVERTON, OR 97007-6684
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
094006338N2
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
—
OR
Other
Enumeration date
07/23/2006
Last updated
07/08/2007
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