Provider Demographics
NPI:1578544011
Name:IKINS, KAREN L (FNP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:L
Last Name:IKINS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3390
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-3390
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1151 MAY ST
Practice Address - Street 2:SUITE 201
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-1526
Practice Address - Country:US
Practice Address - Phone:541-387-1944
Practice Address - Fax:541-387-6123
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR200250039NP FNP-PP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORP00479387OtherRR MEDICARE
OR000360Medicaid
OR139985Medicare PIN
ORR138599Medicare PIN
ORR142372Medicare PIN
ORR146022Medicare PIN
ORR147070Medicare PIN
ORP18863Medicare UPIN
ORR141838Medicare PIN
ORP00479387OtherRR MEDICARE
ORR140941Medicare PIN
ORR156552Medicare PIN
ORR159262Medicare PIN
OR139984Medicare PIN
OR000360Medicaid
ORR145561Medicare PIN
ORR162324Medicare PIN