ELLEN LOUISE KLINE PETERSEN

PORTLAND, OR
NPI1508235326
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201506508NP-PP)
Enumeration Date2015-09-22
Last Update Date2024-09-06
Business Address
ELLEN LOUISE KLINE PETERSEN FNP-C
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-4500
Mailing Address
ELLEN LOUISE KLINE PETERSEN FNP-C
1400 SW 5TH AVE STE 500
PORTLAND, OR 97201-5537
Phone number: 866-617-6855
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