Individual
KULANI HEGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4400 NE HALSEY ST STE 200, PORTLAND, OR 97213-1545
(503) 215-9800
Mailing address
4400 NE HALSEY ST STE 200, PORTLAND, OR 97213-1545
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202011245LPN
OR
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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