Gwynn, Kirsten

Gwynn, Kirsten is an individual health care provider with primary practice located at 24850 Se Stark St Ste 200 , Gresham OR 97030-8320. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gwynn, Kirsten can be contacted via phone (503) 491-9444.

Contact Information

Primary practice address
24850 Se Stark St Ste 200 Gresham OR 97030-8320
Phone: (503) 491-9444
Fax: (503) 661-3430
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X MW010305 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 201405814NP-PP Oregon

Profile Details

NPI number 1982041703
LBN Legal business name Gwynn, Kirsten
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2013
Last updated Feb 13th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982041703 NPPES
Pennsylvania Other MW010305 NURSE-MIDWIFE LICENSE

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