SARAH KUPPENBENDER KONG

PORTLAND, OR
NPI1013434646
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201706888NP-PP)
Enumeration Date2017-08-24
Last Update Date2019-04-25
Business Address
SARAH KUPPENBENDER KONG FNP-C
4411 SW VERMONT ST
PORTLAND, OR 97219-1020
Phone number: 503-494-9992
Mailing Address
SARAH KUPPENBENDER KONG FNP-C
12960 SW DOUGLAS ST
PORTLAND, OR 97225-4548
Phone number: 503-551-9099
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