Individual
KATHLEEN PATRICIA KERWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
7150 SW HAMPTON ST STE 200, TIGARD, OR 97223-8378
(503) 482-4600
Mailing address
11145 SW MEADOWBROOK DR APT 5, TIGARD, OR 97224-3349
(503) 780-3294
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200950047NP
OR
Other
Enumeration date
07/02/2006
Last updated
01/06/2025
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