Individual provider · Type 1 NPI

Carly Jacqueline Griffin, FNP

Family Nurse Practitioner · Portland, OR

NPI number 1558748293 Active

Practice location

1111 NE 99th Ave Ste 200
Portland, OR 97220-9442

Fax (503) 963-3140

Mailing address

847 NE 19th Ave Ste 300
Portland, OR 97232-2686

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X201705874NP-PP (OR)

Family Nurse Practitioner: Definition to come...

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About NPI 1558748293

Carly Jacqueline Griffin, FNP's National Provider Identifier is 1558748293, issued on May 1, 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 Nov 16, 2021.