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General NPI Number Information
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NPI Number | 1609306232
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Entity Type | Individual
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Provider Name | KYM ANN LAGAFUAINA NP-C
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Gender | Female
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 1925 NE STUCKI AVE STE 300
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City | HILLSBORO
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State | OR
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Zip | 97006-6945
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Country | US
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Telephone | 503-906-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1860 PELORUS AVE
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City | SEAL BEACH
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State | CA
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Zip | 90740-5775
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Country | US
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Telephone | 719-432-6269
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 10035436
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95019984
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN.0992936-NP
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License Number State | CO
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