Individual provider · Type 1 NPI

Mikayla Grey

Critical Care Medicine Registered Nurse · Portland, OR

NPI number 1336962596 Active

Practice location

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

Mailing address

6448 SE Pine St
Portland, OR 97215-1368

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse 163WC0200X11800756-3102 (UT)
Critical Care Medicine Registered Nurse Primary 163WC0200X202209027RN (OR)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1336962596

Mikayla Grey's National Provider Identifier is 1336962596, issued on Nov 6, 2024. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Portland, OR. The record was last updated on Nov 6, 2024.