Individual
KATHRYN MCCREADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2800 N VANCOUVER AVE, SUITE 201, PORTLAND, OR 97227-1630
(503) 331-2400
(503) 331-2410
Mailing address
2800 N VANCOUVER AVE, SUITE 201, PORTLAND, OR 97227-1630
(503) 331-2400
(503) 331-2410
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
083028105N2
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069828
—
OR
05
—
9637869
—
WA
Enumeration date
03/19/2007
Last updated
03/22/2021
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