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1043862550
KATHERINE FELICIA EDSTROM
PORTLAND, OR
NPI
1043862550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LG0600X Nurse Practitioner, Gerontology
(Licence: OR 201905490NP-PP)
Enumeration Date
2019-07-15
Last Update Date
2024-05-17
Business Address
KATHERINE FELICIA EDSTROM AGNP-C
5100 S MACADAM AVE STE 200
PORTLAND, OR 97239-3827
Phone number: 971-202-5500
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Mailing Address
KATHERINE FELICIA EDSTROM AGNP-C
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8562
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