Anna Kathleen Grimm
Nurse Practitioner - Acute Care Nurse Practitioner - Family Medicine and 1 more
3181 Sw Sam Jackson Park Rd
Portland
, Oregon 97239-3011
Anna Kathleen Grimm
Nurse Practitioner - Acute Care Nurse Practitioner - Family Medicine and 1 more
3181 Sw Sam Jackson Park Rd
Portland
, Oregon 97239-3011
(503) 346-8021
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About
Features
Specialties
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Anna Kathleen Grimm
- 3181 Sw Sam Jackson Park Rd
- Portland, OR
- Zip : 97239-3011
- Fax : (503) 346-8021
- Phone : (503) 494-1303
Second Address
- Anna Kathleen Grimm
- 3181 Sw Sam Jackson Park Rd
- Portland, OR
- Zip : 97239-3011
- Fax : (503) 346-8021
- Phone : (503) 494-1303
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FAQs
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Is Anna Kathleen Grimm a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2100X | Nurse Practitioner - Acute Care | 201501103NP-PP | OR |
| N | 363LA2100X | Nurse Practitioner - Acute Care | COA.03700-NP | OH |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 201501120NP-PP | OR |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | 33115 | WV |
| N | 363LF0000X | Nurse Practitioner - Family Medicine | COA.03700-NP | OH |
National Provider Identifier
| NPI | 1033151139 |
|---|---|
| Provider Name | Anna Kathleen Grimm |
| First Address | Portland, OR 97239-3011 |
| Second Address | Portland, OR 97239-3011 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/06/2006 |
| Last Update Date | 21/06/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0051782 | (05) | OH |
| 1067391 | WV WORK COMP (01) | WV |
| 3810001991 | (05) | WV |
| S51108 | (02) | WV |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.