Individual provider · Type 1 NPI

Maria Katherine Kosmetatos, FNP

Family Nurse Practitioner · Portland, OR

NPI number 1215080387 Active

Practice location

619 NW 6th Ave Fl 3
Portland, OR 97209-3964

Fax (503) 988-5022

Mailing address

619 NW 6th Ave Fl 5
Portland, OR 97209-3964

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X095006316N1 (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1215080387

Maria Katherine Kosmetatos, FNP's National Provider Identifier is 1215080387, issued on Jan 19, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Dec 18, 2019.