KATHLEEN KLUNK


Address: 1400 Ne Alberta St, Portland, OR 97211-5044
Phone: 8449666777

KATHLEEN KLUNK (NPI# 1134585268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134585268
Entity Type Individual
Full Name KATHLEEN KLUNK
Credential APN
Practice Address 1400 Ne Alberta St
Portland
OR 97211-5044
Mailing Address 1261 Nw Overton St Apt 510
Portland
OR 97209-3896
Practice Telephone 8449666777
Mailing Telephone 7083341842
Enumeration Date 2016-01-05
Last Update Date 2018-11-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363L00000X Nurse Practitioner 041382963 IL Physician Assistants & Advanced Practice Nursing Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
201609389NP-PP OR Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3 Erie Ct, Oak Park, IL 603022519 7083341842

Office Location

Street Address 1400 NE ALBERTA ST
City PORTLAND
State OR
Zip Code 97211-5044

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144839804 Peacehealth Networks On Demand, LLC Non-Pharmacy Dispensing Site 1400 Ne Alberta St, Portland, OR 97211-5044 2020-07-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386104586 Rachel Joy Kendall Counselor 5257 Nw Martin Luther King Jr. Blvd, 202e, Portland, OR 97211 2019-03-22
1073014601 Kelli Minton Behavior Technician 7035 Ne 9th Ave, Portland, OR 97211 2018-02-28
1083145726 Warren H Baumann Registered Nurse 854 Ne Simpson St, Portland, OR 97211 2017-03-24
1407277411 Regina Barnett Case Manager/Care Coordinator 509 Ne Alberta St., Portland, OR 97211 2013-12-17
1578905964 Carmel Therese Irving Social Worker 5912 Ne 16th Ave, Portland, OR 97211 2013-07-25
1629310990 Lisa Peacock Counselor 4433 Ne 35 Place, Portland, OR 97211 2013-03-25
1285907915 Michele Karen Koder Pharmacist 3529 Ne Martin Luther King, Jr. Blvd., Portland, OR 97211 2012-02-10
1629368196 Alexis Miranda Barker Massage Therapist 4929 Ne 30th Ave, Zen Space Healing, Portland, OR 97211 2011-04-18
1396041760 Kara Ann Fuerst Specialist 3325 Ne Prescott, Portland, OR 97211 2011-02-02
1063746337 Laura K Elvers Pharmacist 6116 Ne Mlk, Portland, OR 97211 2009-09-18
Find all providers in zip 97211

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1043822794 Danielle Langer Nurse Practitioner 35 Ridgeview Rd, Portland, CT 06480-4014 2020-08-23
1508476250 Harrington Health Clinic Nurse Practitioner 310 Nw Glisan Street, Portland, OR 97209 2020-08-07
1114566650 Sadie Garnache-poirier Nurse Practitioner 65 W Commercial St Ste 107, Portland, ME 04101-4789 2020-01-02
1902441629 Jennifer Marie Colpitts Nurse Practitioner 1600 Congress St Ste B, Portland, ME 04102-2148 2019-11-18
1477102689 Raquel A Bishop Nurse Practitioner 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 2019-09-10
1265081640 Christina Lee Nurse Practitioner 144 State St # 1, Portland, ME 04101-3776 2019-09-09
1407401474 Abby Christine Vopal Nurse Practitioner 66 Bramhall St Fl 1, Portland, ME 04102-3355 2019-08-07
1770145294 Cynthia Marie Martinez Nurse Practitioner 1145 Austin St, Portland, TX 78374-2013 2019-07-04
1528532306 Matthew James Keelin Nurse Practitioner 6801 Ne Cornfoot Rd, Portland, OR 97218-2743 2019-01-15
1659847580 Colleen Jeanette Scott Nurse Practitioner 650 Nw Irving St, Portland, OR 97209-1272 2018-10-18
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97211

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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