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Contact Information

GRETHE J MORTENSON, CRNP
2074 S 6TH ST
KLAMATH FALLS, OR97601
 Phone: 541-841-8110
 Fax: 541-885-5512
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

363LN0000X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GRETHE J MORTENSON · (Female)

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
  • AZ License # 281915
  • MN License # 1916
  • OR License # 10015210
  • PA License # SP029043
  • PA License # SP029056
  • WI License # 8585
  • OR Medicaid 500827451
  • WI Medicaid 1205183415
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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