Individual provider · Type 1 NPI
Kathleen Patricia Perko, PNP
Pediatric Nurse Practitioner · Portland, OR
NPI number
1477574309
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
15581 SW Black Quartz St
Beaverton, OR 97007-6684
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 094006338N2 (OR) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1477574309
Kathleen Patricia Perko, PNP's National Provider Identifier is 1477574309, issued on Jul 23, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.