Jepsen, Kathryn Elizabeth

Jepsen, Kathryn Elizabeth is an individual health care provider with primary practice located at 3738 Sw16Th Ct , Gresham OR 97080-8300. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Jepsen, Kathryn Elizabeth can be contacted via phone (503) 492-7508.

Contact Information

Primary practice address
3738 Sw16Th Ct Gresham OR 97080-8300
Phone: (503) 492-7508
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 078040076 Oregon

Profile Details

NPI number 1912152182
LBN Legal business name Jepsen, Kathryn Elizabeth
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2008
Last updated Dec 1st, 2008 - about 18 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 1912152182 NPPES
Oregon MEDICAID 695466

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