Provider Demographics
NPI:1265469043
Name:GRECO, KAREN ELAINE (PHD, RN, ANP)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ELAINE
Last Name:GRECO
Suffix:
Gender:F
Credentials:PHD, RN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:1360 SW TURNER RD
Mailing Address - Street 2:
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-9662
Mailing Address - Country:US
Mailing Address - Phone:503-638-0500
Mailing Address - Fax:503-638-0650
Practice Address - Street 1:700 MOLALLA AVE
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-2652
Practice Address - Country:US
Practice Address - Phone:503-722-4400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR000031382N3 ANP-PP363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health