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Individual

KAREN E NIBBLETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP, CNS

Contact information

Practice address
13007 NE GLISAN ST, PORTLAND, OR 97230-2545
(503) 215-5600
(503) 215-7864
Mailing address
13007 NE GLISAN ST, PORTLAND, OR 97230-2545
(503) 215-5600
(503) 215-7864

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200450084 NP
OR
364SG0600X
Gerontology Clinical Nurse Specialist
200470021CNS
OR

Other

Enumeration date
05/08/2008
Last updated
09/30/2020
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