Individual
KRISTEN ELIZABETH WAITS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2050 NW LOVEJOY ST. STE 1, PORTLAND, OR 97209
(503) 227-0350
(503) 227-0745
Mailing address
2050 NW LOVEJOY ST. STE 1, PORTLAND, OR 97209
(503) 227-0350
(503) 227-0745
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200050053NP
OR
Other
Enumeration date
01/19/2007
Last updated
09/25/2020
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