Provider Demographics
NPI:1699795583
Name:BRIGGS, KAREN N (NP)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:N
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:600 NE 8TH ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030-7317
Mailing Address - Country:US
Mailing Address - Phone:503-988-5155
Mailing Address - Fax:503-988-5185
Practice Address - Street 1:421 SW OAK ST
Practice Address - Street 2:210
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-1817
Practice Address - Country:US
Practice Address - Phone:503-988-3663
Practice Address - Fax:503-988-3015
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR080036582N1363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR22959Medicaid
OR096511Medicaid
OR134204Medicare ID - Type Unspecified
OR096511Medicaid
ORR0000WCJHTMedicare Oscar/Certification