Individual
MRS. ERICA EILEEN KILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD., PORTLAND, OR 97239
(503) 418-5150
(503) 494-4953
Mailing address
3181 SW SAM JACKSON PARK RD., PORTLAND, OR 97239
(503) 418-5151
(503) 418-5165
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201042945RN
OR
363L00000X
Nurse Practitioner
706451
TX
Other
Enumeration date
11/10/2008
Last updated
08/08/2014
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