Individual
MRS. KRISTEN PITTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2005 W MAIN ST STE 120, BATTLE GROUND, WA 98604-4311
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
200750022NP PNP-PP
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
AP30007678
WV
Other
Enumeration date
08/09/2007
Last updated
03/29/2023
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