Individual provider · Type 1 NPI

Caryl Louise Kenworth, M.S.N., F.N.P.

Family Nurse Practitioner · Portland, OR

NPI number 1396757662 Active

Practice location

4805 NE Glisan St
Portland, OR 97213-2933

Fax (503) 297-2360

Mailing address

9340 SW Barnes Rd, Suite 202
Portland, OR 97225-6623

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X093006097N1-FNP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1396757662

Caryl Louise Kenworth, M.S.N., F.N.P.'s National Provider Identifier is 1396757662, issued on Aug 13, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Aug 25, 2014.