Individual provider · Type 1 NPI

Desiree D. Kirk, AGNP

Gerontology Nurse Practitioner · Portland, OR

NPI number 1346029600 Active

Practice location

17727 E Burnside St
Portland, OR 97233

Other practice locations

  • 4400 NE Halsey St., Building 1, Suite 200, Portland, OR 97213 · (503) 215-6556

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X10010097 (OR)
Gerontology Nurse Practitioner Primary 363LG0600X10010097 (OR)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1346029600

Desiree D. Kirk, AGNP's National Provider Identifier is 1346029600, issued on Sep 26, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Portland, OR. The record was last updated on Oct 31, 2024.