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Individual

MRS. KARI MICHELLE KOMLOFSKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
501 N GRAHAM ST STE 250, PORTLAND, OR 97227-1651
(503) 249-0719
(503) 249-0749
Mailing address
5684 NW SKYCREST PKWY, PORTLAND, OR 97229-2329
(503) 645-1466

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
PENDING
OR

Other

Enumeration date
06/05/2010
Last updated
07/30/2012
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