Individual
KAREN LEE WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 514-1778
(360) 696-5038
Mailing address
PO BOX 3397, PORTLAND, OR 97208-3397
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201403977NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
201403977
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500675467
—
OR
Enumeration date
08/08/2014
Last updated
07/05/2022
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