Individual provider · Type 1 NPI

Kaseymichelle Qualman, DNP, MS-RN, CPNP-PC

Pediatric Nurse Practitioner · Portland, OR

NPI number 1326633397 Active

Practice location

6924 NE Sandy Blvd
Portland, OR 97213-5256

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X220689 (AZ)
Pediatric Nurse Practitioner Primary 363LP0200X202109196NP-PP (OR)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1326633397

Kaseymichelle Qualman, DNP, MS-RN, CPNP-PC's National Provider Identifier is 1326633397, issued on Mar 2, 2021. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Nov 2, 2021.