Individual
KRISTIN KATHLEEN LOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5050 NE HOYT ST, SUITE 256, PORTLAND, OR 97213-2991
(503) 239-7767
(503) 215-6897
Mailing address
5050 NE HOYT ST, SUITE 256, PORTLAND, OR 97213-2991
(503) 239-7767
(503) 215-6897
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200250138NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1056568
—
WA
05
—
232803
—
OR
Enumeration date
08/03/2006
Last updated
03/19/2021
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