Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHERINE FELICIA EDSTROM, AGNP-C
Active Sole ProprietorKATHERINE FELICIA EDSTROM, AGNP-C is a Gerontological Nurse Practitioner healthcare provider located in PORTLAND, Oregon. NPI 1043862550 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · PORTLAND, OR
Registration Details
- NPI Number
- 1043862550
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2019 (7.0382894954433 yrs)
- Last Updated
- May 17, 2024
- License
-
201905490NP-PP (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5100 S MACADAM AVE STE 200PORTLAND, OR, 972393827Browse OR providers · Browse ZIP 97239
- Phone
- 9712025500
- Fax
- 9712025555
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
Other Gerontological Nurse Practitioner Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| DONNA L JOHANNES | ANP, GNP | 1164491148 |
| LILY W LEE | NP | 1669421939 |
| MS. CAROLYN DOLORES CONCIA | NP | 1568419091 |
| MS. GAYLE MELINDA MILLER | FNP | 1629010574 |
| VIRGINIA LEE HARRIS | NP | 1043247059 |
| MS. EILEEN GILMARTIN | N.P. | 1255447447 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.