Individual
MS. KAREN ANNE MCCLISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP
Contact information
Practice address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(503) 813-2000
Mailing address
19185 SW 90TH AVE, TUALATIN, OR 97062-7558
(503) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200550109
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270149
—
OR
Enumeration date
02/07/2006
Last updated
08/21/2012
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