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NPI Code Detail

MEDICARE: KATHLEEN ADKISON

MEDICARE:   KATHLEEN  ADKISON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN202112236OR

General Provider Information

NPI Number : 1043160500
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN ADKISON
Provider Business Mailing Address
First Line : 5000 N WILLAMETTE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97203-5798
Country : US
Telephone Number : 503-412-9750
Fax Number :
Provider Business Practice Location Address
First Line : 3550 SW BORLAND RD
Second Line :
City : TUALATIN
State : OR
Zip : 97062-6772
Country : US
Telephone Number : 503-974-8887
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ KATHLEEN ADKISON ” Practice Location

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