Tomic, Kaitlyn
Tomic, Kaitlyn is an individual health care provider with primary practice located at 3600 N Interstate Ave , Portland OR 97227-1191. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Tomic, Kaitlyn can be contacted via phone (800) 813-2000.Contact Information
Primary practice address
3600 N Interstate Ave
Portland OR 97227-1191
Phone: (800) 813-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 201505718 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP61665683 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | AP61665683 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 201505718NP-PP | Oregon |
Profile Details
| NPI number | 1184090177 |
|---|---|
| LBN Legal business name | Tomic, Kaitlyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2015 |
| Last updated | Jul 24th, 2026 - about 3 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184090177 | NPPES |
| Oregon | Other | 201505718 | OREGON STATE BOARD OF NURSING |
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