NPI Profile for GRETHE J MORTENSON in KLAMATH FALLS, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Neonatal |
363LN0000X | 50 | Nurse Practitioner | |
Adult Health |
363LA2200X | 50 | Nurse Practitioner | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner |
| NPI # | 1205183415 |
|
| Status | Active | |
| Credentials | CRNP (Certified Registered Nurse Practitioner) | |
| Entity | Individual | |
| Enumeration date | 08/07/2012 | |
| Last updated | 08/08/2025 - About 10 months ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GRETHE J MORTENSON
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