KELLY FROMUTH, AGPCNP-PP

Nurse Practitioner - Primary Care

Active Individual
NPI: 1689052201

Practice Address

5100 SW MACADAM AVE
#200
Portland, OR 97239

Phone: (971) 202-5500

Specialties

Specialty Code Primary License
Nurse Practitioner - Adult Health 363LA2200X No 201501921NP-PP (OR)
Nurse Practitioner - Gerontology 363LG0600X No 201501921NP-PP (OR)
Nurse Practitioner - Primary Care 363LP2300X Yes 201501921NP-PP (OR)

Frequently Asked Questions

NPI 1689052201 is the National Provider Identifier for KELLY FROMUTH, AGPCNP-PP, a Nurse Practitioner - Primary Care provider located in Portland, OR. This NPI was enumerated on May 14, 2015.
KELLY FROMUTH, AGPCNP-PP practices at 5100 SW MACADAM AVE, #200, Portland, OR 97239.

Quick Facts

NPI
1689052201
Type
Individual
Enumerated
May 14, 2015
Last Updated
Dec 7, 2021

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