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KAREN SUZANNE MCNULTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
10373 NE HANCOCK ST, PORTLAND, OR 97220-3873
(503) 253-6754
(503) 253-8020
Mailing address
4105 SE 186TH PL, VANCOUVER, WA 98683-7410
(503) 449-9946

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201250161NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60583471
WA

Other

Enumeration date
10/22/2012
Last updated
12/15/2020
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