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:
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Health care specialties

SpecialtyCodeLicense #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 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 1366418535 NPPES
Oregon MEDICAID 000677
Oregon MEDICAID 1366418535

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