Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 201393371NP-PP | OR |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 18610 | CA |
NPI | 1386897809 |
---|---|
Provider Name | Maria S Kling |
First Address | Portland, OR 97292-0900 |
Second Address | Gresham, OR 97030-3721 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/10/2008 |
Last Update Date | 28/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1316054737 | GROUP NPI (01) | CA |
GR0079700 | MEDICAL GROUP (01) | CA |
NP 18610 | NURSE PRACTITIONER (01) | CA |
RN 557967 | REGISTERED NURSE (01) | CA |
ZZZ13858Z | GROUP MEDICARE (01) | CA |