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General NPI Number Information
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NPI Number | 1265469043
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Entity Type | Individual
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Provider Name | KAREN ELAINE GRECO PHD, RN, ANP
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Gender | Female
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 09/28/2020
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Provider Practice Location Address
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Address Line | 700 MOLALLA AVE
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City | OREGON CITY
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State | OR
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Zip | 97045-2652
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Country | US
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Telephone | 503-722-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 1360 SW TURNER RD
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City | WEST LINN
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State | OR
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Zip | 97068-9662
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Country | US
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Telephone | 503-638-0500
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Fax | 503-638-0650
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 000031382N3 ANP-PP
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License Number State | OR
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