Individual
INGRID SIEGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS-PP, RN
Contact information
Practice address
3045 SW 66TH CT, PORTLAND, OR 97225-3116
(503) 332-1767
Mailing address
3045 SW 66TH CT, PORTLAND, OR 97225-3116
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
98006469RN
OR
363LF0000X
Family Nurse Practitioner
Primary
10032544
OR
364SA2100X
Acute Care Clinical Nurse Specialist
201407863CNS-PP
OR
364SG0600X
Gerontology Clinical Nurse Specialist
098006469RN
OR
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
201407863CNS-PP
OR
Other
Enumeration date
03/05/2009
Last updated
02/28/2026
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