Individual
KAREN ANN RYDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ANP
Contact information
Practice address
6350 NE HALSEY ST, PORTLAND, OR 97213-4720
(503) 215-2669
(503) 215-8465
Mailing address
1111 NE 99TH AVE, SUITE 201, PORTLAND, OR 97220-9442
(503) 962-1000
(503) 962-1005
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
086000043N3 ANP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291783
—
OR
Enumeration date
08/22/2005
Last updated
10/14/2021
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