Individual
CAROLYNE L KITUYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4550 KRUSE WAY,, STE.125, LAKE OSWEGO, OR 97035
(503) 810-9275
Mailing address
3428 SE AERIE AVE, HILLSBORO, OR 97123-8892
(503) 810-9275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10043238
OR
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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