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Contact Information

TAMRA D KEHOE, CPNP
10225 E BURNSIDE ST
PORTLAND, OR97216-2731
 Phone: 503-988-4424
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for TAMRA D KEHOE · (Female)

NPI # 1184720500
Status Active
Credentials CPNP (Certified Pediatric Nurse Practitioner)
Entity Individual
Enumeration date 09/15/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 089006966N2 PNP PP
  • OR Medicaid 022959
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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