Individual provider · Type 1 NPI

Ellen Louise Kline Petersen, FNP-C

Family Nurse Practitioner · Portland, OR

NPI number 1508235326 Active

Practice location

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

Fax (503) 494-4473

Mailing address

1400 SW 5th Ave Ste 500
Portland, OR 97201-5537

Other practice locations

  • 14617 SE Mcloughlin Blvd, Milwaukie, OR 97267-1416 · (888) 227-3312

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X201506508NP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1508235326

Ellen Louise Kline Petersen, FNP-C's National Provider Identifier is 1508235326, issued on Sep 22, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Sep 6, 2024.