Individual provider · Type 1 NPI

Sarah Kuppenbender Kong, FNP-C

Family Nurse Practitioner · Portland, OR

NPI number 1013434646 Active

Practice location

4411 SW Vermont St
Portland, OR 97219-1020

Mailing address

12960 SW Douglas St
Portland, OR 97225-4548

Other practice locations

  • 1620 E 12th St, The Dalles, OR 97058-3213 · (541) 296-9151

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X201706888NP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1013434646

Sarah Kuppenbender Kong, FNP-C's National Provider Identifier is 1013434646, issued on Aug 24, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Apr 25, 2019.