Individual
KRISTINA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4101 NE DIVISION ST, GRESHAM, OR 97030-4617
(503) 465-5717
Mailing address
4101 NE DIVISION ST, GRESHAM, OR 97030-4617
(503) 465-5717
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201505557RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201505557RN
OSBN- OREGON STATE BOARD OF NURSING
OR
Enumeration date
01/30/2016
Last updated
02/12/2016
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