Individual
TESSA JEANAE KAINU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
12133 NE SLIDERBERG RD, BRUSH PRAIRIE, WA 98606-3007
(360) 852-4017
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
202009299RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4313-09-50
KAISER HEALTH RECORD NUMBER
WA
Enumeration date
11/09/2021
Last updated
11/09/2021
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