NPI 1306994629 · live from the CMS NPI Registry
Kathy Gibbens, RNFA
Registered Nurse, Registered Nurse First Assistant in Beaverton, OR. National Provider Identifier 1306994629, active.
NPI record
| NPI | 1306994629 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 9432 Sw 164th Ave, Beaverton, OR 97007 |
| Practice phone | 971-506-6870 |
| Mailing address | Po Box 2264, Beaverton, OR 97075 |
| Enumerated | January 5, 2007 |
| Last updated | September 20, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | 094000296RN (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.