Individual provider · Type 1 NPI

Kendra Kathryn Mundstock, AGACNP-BC

Acute Care Nurse Practitioner · Clackamas, OR

NPI number 1679041115 Active

Practice location

10100 SE Sunnyside Rd
Clackamas, OR 97015-8970

Mailing address

3181 SW Sam Jackson Park Rd # 13K
Portland, OR 97239-3011

Other practice locations

  • 1211 Medical Center Dr, Nashville, TN 37232-0004 · (615) 322-5000
  • 3181 SW Sam Jackson Park Rd # 13K, Portland, OR 97239-3011 · (503) 494-8311

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X201905528NP-PP (OR)
Acute Care Nurse Practitioner 363LA2100X25041 (TN)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1679041115

Kendra Kathryn Mundstock, AGACNP-BC's National Provider Identifier is 1679041115, issued on Nov 2, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Clackamas, OR. The record was last updated on May 1, 2023.