Search › Oregon › 363L00000X
Bonnie Kittleson, FNP
NPI 1851394464 · on the registry since 2005
Practice
- Address
- 10000 Se Main St Ste 350
Portland, OR 97216 - Phone
- (971) 262-9800
- Fax
- (971) 262-9899
- Organisation at this address
- Jmsp Llc
Mpkm, Llc
Bret Gene Ball Llc
Professionl Pharmacy
Kyle Valentine Dmd PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 114
Additional practice sites
- 319 E Hawaii Ave, Nampa, ID
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363L00000X
363LF0000X - Licence states on file
- OR, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon