Provider Demographics
NPI:1922892439
Name:KONOPNICKI, EVIE GWENDOLYN (RN, BSN, MSCI)
Entity type:Individual
Prefix:
First Name:EVIE
Middle Name:GWENDOLYN
Last Name:KONOPNICKI
Suffix:
Gender:F
Credentials:RN, BSN, MSCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 NE IBERIAN LN
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-6256
Mailing Address - Country:US
Mailing Address - Phone:503-313-9760
Mailing Address - Fax:
Practice Address - Street 1:196 NE IBERIAN LN
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97124-6256
Practice Address - Country:US
Practice Address - Phone:503-313-9760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula