Individual
MS. KATHLEEN EVA KRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
9205 SW BARNES RD, WEST PAVILION, SUITE #200, PORTLAND, OR 97225-6603
(503) 216-1234
(503) 216-1750
Mailing address
9205 SW BARNES RD, SUITE 200, PORTLAND, OR 97225-6603
(503) 216-1881
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
078041304RN3
OR
Other
Enumeration date
08/24/2006
Last updated
07/12/2007
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