Individual
KURTIS PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3455 SW US VETERANS HOSPITAL ROAD, PORTLAND, OR 97239
(503) 494-7444
Mailing address
8325 NE SACRAMENTO ST, PORTLAND, OR 97220
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10033616
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/10/2024
Last updated
10/10/2024
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