Individual provider · Type 1 NPI

Roberta Kornblum, R.N.

Registered Nurse · Portland, OR

NPI number 1871639641 Active

Practice location

3034 NE M L King Blvd
Portland, OR 97212-3053

Mailing address

13333 S Glenn Dr
Mulino, OR 97042-9635

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X086006572RN (OR)
Case Manager/Care Coordinator 171M00000XNone listed

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1871639641

Roberta Kornblum, R.N.'s National Provider Identifier is 1871639641, issued on Jan 29, 2007. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Portland, OR. The record was last updated on Jul 2, 2008.