Kansys Clouse

NPI #1497249007 in Warrenton, Oregon

Provider Information

NPI Number
1497249007
Entity Type
Individual
Name
Kansys Clouse
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Enumeration Date
Jun 18, 2018
Last Updated
Mar 4, 2019

Practice Location

Address
1639 SE ENSIGN LN # B103
State
Oregon
ZIP Code
97146-7308
Phone
(503) 338-4500

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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