Provider Demographics
NPI:1457597072
Name:MCGEE, KARLA ANN (FNP)
Entity Type:Individual
Prefix:MS
First Name:KARLA
Middle Name:ANN
Last Name:MCGEE
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 3158
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-3158
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12442 SW SCHOLLS FERRY RD
Practice Address - Street 2:SUITE 100
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-3396
Practice Address - Country:US
Practice Address - Phone:503-216-9200
Practice Address - Fax:503-216-9220
Is Sole Proprietor?:No
Enumeration Date:2009-01-02
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201050115NP363LF0000X
OR083038471RN363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500640162Medicaid
ORP01346985OtherRR MEDICARE - PHS
ORR171537Medicare PIN
OR500640162Medicaid
ORR161689Medicare PIN
ORR161690Medicare PIN
ORP01346985OtherRR MEDICARE - PHS
ORR161692Medicare PIN
ORR161691Medicare PIN
ORR161693Medicare PIN
ORR171538Medicare PIN