Individual
KRISTINE MARIE DILLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1510 DIVISION ST, SUITE 280, OREGON CITY, OR 97045-1581
(503) 905-3400
(503) 905-3399
Mailing address
21515 SW RAMBLIN RECK RD, SHERWOOD, OR 97140-9613
(503) 625-6930
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
077039035N2
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070222
—
OR
Enumeration date
08/07/2007
Last updated
08/07/2007
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