O'Brien, Kerry Lee
O'Brien, Kerry Lee is an individual health care provider with primary practice located at 4560 Se International Way Suite 100, Milwaukie OR 97222-4628. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. O'Brien, Kerry Lee can be contacted via phone (503) 312-4607.Contact Information
Primary practice address
4560 Se International Way Suite 100
Milwaukie OR 97222-4628
Phone: (503) 312-4607
Fax: (503) 296-2408
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 200250084NP | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 200250083NP | Oregon |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 200950006NP | Oregon |
Profile Details
NPI number | 1366418535 |
---|---|
LBN Legal business name | O'Brien, Kerry Lee |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 27th, 2006 |
Last updated | Aug 10th, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366418535 | NPPES |
Oregon | MEDICAID | 000677 | |
Oregon | MEDICAID | 1366418535 |
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