KIRSTEN KEIKO PENLAND DAVIS

PORTLAND, OR
NPI1932727807
Former NameKIRSTEN KEIKO PENLAND
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OR  10013340)
Additional Taxonomies163WC0200X Registered Nurse, Critical Care Medicine
(Licence: OR  201607649RN)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-07-08
Last Update Date2023-08-17
Business Address
KIRSTEN KEIKO PENLAND DAVIS BSN, RN, CRNA
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-7641
Mailing Address
KIRSTEN KEIKO PENLAND DAVIS BSN, RN, CRNA
3181 SW SAM JACKSON PARK RD MAIL CODE SJH-2
PORTLAND, OR 97239
Phone number: 503-494-7246