Individual provider · Type 1 NPI

Kaitlyn Tomic

Acute Care Nurse Practitioner · Portland, OR

NPI number 1184090177 Active

Practice location

3600 N Interstate Ave
Portland, OR 97227-1191

Mailing address

500 NE Multnomah St Ste 100
Portland, OR 97232-2031

Other practice locations

  • 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011 · (515) 321-8960

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X201505718 (OR)
Acute Care Nurse Practitioner 363LA2100XAP61665683 (WA)
Nurse Practitioner 363L00000XAP61665683 (WA)
Acute Care Nurse Practitioner Primary 363LA2100X201505718NP-PP (OR)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1184090177

Kaitlyn Tomic's National Provider Identifier is 1184090177, issued on Aug 13, 2015. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Portland, OR. The record was last updated on Jul 24, 2026.