Provider Demographics
NPI:1568777068
Name:NAJDEK, KATHLEEN (REGISTERED NURSE)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:
Last Name:NAJDEK
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:KATHLEEN
Other - Middle Name:
Other - Last Name:LUNDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 23933
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97281-3933
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12000 SW MAIN ST
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-6218
Practice Address - Country:US
Practice Address - Phone:503-347-8042
Practice Address - Fax:503-579-9344
Is Sole Proprietor?:No
Enumeration Date:2010-08-10
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60099817163WC1500X
OR076036037RN163WP0200X
ORTSPA PP-12163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WS0200XNursing Service ProvidersRegistered NurseSchool