Individual
KIERSHA ANN SLOWTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 495-6727
Mailing address
21125 NW ROCK CREEK BLVD, PORTLAND, OR 97229-1039
(503) 317-8930
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201330020LPN
OR
164W00000X
Licensed Practical Nurse
LP60710545
WA
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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