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Individual

KATY C STROPNICKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
15640 NW LAIDLAW RD, SUITE 105, PORTLAND, OR 97229-3828
(503) 764-0100
(503) 764-0166
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN280650
MA
363LF0000X
Family Nurse Practitioner
Primary
201150170NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110083778A
MA
05
500642653
OR
Enumeration date
09/15/2009
Last updated
03/25/2021
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