Provider Demographics
NPI:1942248885
Name:RIEMAN, KAREN D (RN, WHCNP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:D
Last Name:RIEMAN
Suffix:
Gender:F
Credentials:RN, WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N GRAHAM ST
Mailing Address - Street 2:PORTLAND
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-1683
Mailing Address - Country:US
Mailing Address - Phone:503-413-1122
Mailing Address - Fax:503-413-2829
Practice Address - Street 1:300 N GRAHAM ST
Practice Address - Street 2:PORTLAND
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1683
Practice Address - Country:US
Practice Address - Phone:503-413-1122
Practice Address - Fax:503-413-2829
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR087000044RN163W00000X
WARN00135644163W00000X
WAAP30005506363L00000X
OR087000044N7363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P38111Medicare UPIN
WA8851943Medicare PIN