Individual
PENNI KLEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4540 NE GLISAN ST, PORTLAND, OR 97213-2333
(503) 215-3738
Mailing address
4540 NE GLISAN ST, PORTLAND, OR 97213-2333
(503) 215-3738
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
099000278RN
OR
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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