Individual provider · Type 1 NPI

Katherine Felicia Edstrom, AGNP-C

Gerontology Nurse Practitioner · Portland, OR

NPI number 1043862550 Active

Practice location

5100 S Macadam Ave Ste 200
Portland, OR 97239-3827

Call (971) 202-5500 Map

Fax (971) 202-5555

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Other practice locations

  • 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011 · (503) 494-8562

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X201905490NP-PP (OR)

Gerontology Nurse Practitioner: Definition to come...

41 other providers at this address

Other gerontology nurse practitioner providers in Portland

See all in Portland →

About NPI 1043862550

Katherine Felicia Edstrom, AGNP-C's National Provider Identifier is 1043862550, issued on Jul 15, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Portland, OR. The record was last updated on May 17, 2024.