DR. KELLY ANNE GOUDREAU CNS NPI 1588862668

NPI Information

NPI: 1588862668
Provider Name: DR. KELLY ANNE GOUDREAU, CNS
Classification: Registered Nurse - 163WC1600X
Entity Type: Individual

Specialization: Continuing Education/Staff Development

Address:
3710 SW US VETERANS HOSP RD
PORTLAND, OR
ZIP 97207
Phone: (503) 220-8262
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DR. Kelly Anne Goudreau, CNS is a continuing education/staff development registered nurse in Portland, OR. DR. Kelly Anne Goudreau, CNS NPI is 1588862668. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3710 SW US VETERANS HOSP RD
PORTLAND, OR
ZIP 97207-034
Phone: (503) 220-8262
Fax: (503) 220-3441

The enumeration date for this NPI number is 7/10/2007 and was last updated on 7/10/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC1600X	Registered Nurse	Continuing Education/Staff Development		OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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