Judy Kloos, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

200250011NPPP Issued in OR

Practice address

1001 Molalla Ave Ste 100
Pacific Medical Group
Oregon City, OR 97045

Phone

(503) 656-5273

NPI assigned

May 25, 2006

Last updated

Jun 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401667200000",
    "number": "1184670788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CENTERPOINTE DR., STE 200",
            "address_2": "PACIFIC MEDICAL GROUP",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97035",
            "telephone_number": "503-797-2254",
            "fax_number": "503-914-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MOLALLA AVE STE 100",
            "address_2": "PACIFIC MEDICAL GROUP",
            "city": "OREGON CITY",
            "state": "OR",
            "postal_code": "97045",
            "telephone_number": "503-656-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOOS",
        "first_name": "JUDY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2014-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "200250011NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200250011NPPP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tsion Kiros
• Richard M Kite, LCSW
• Jack Klar, DMD
• Dawn Marie Klein, MSPT OCS ATC LMT
• Rachelle Kliewer
• Courtney Rae Klum
• Karen Lee Klusmann, RN., IBCLC
• Arkady A. Klykov, M.D.
• Katherine Arelene Knaak, NP
• Charles Knox

• Family Nurse Practitioner in Oregon City, OR
• Providers in Oregon City, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.