Individual
MRS. KATHRYN LOUISE ENGSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6901 SE LAKE ROAD, PORTLAND, OR 97267
(503) 317-5227
Mailing address
6901 SE LAKE ROAD, PORTLAND, OR 97267
(503) 317-5227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
093000300RN
OR
163WH0200X
Home Health Registered Nurse
093000300RN
OR
Other
Enumeration date
12/30/2013
Last updated
12/30/2013
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