Kristen Swafford, PHD, RN, CNS
Individual provider Active NPI Gerontology Registered Nurse · Gaston, OR
NPI 1366842007 · NPPES record last updated Aug 29, 2014
Key facts
- NPI
- 1366842007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Registered Nurse 163WG0600X
- License
- 200670004CNS (OR)
- Practice address
- 23375 NE Ridge Rd
Gaston, OR 97119-8402 - Phone
- (503) 841-8174
- NPI assigned
- Aug 29, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Certified Nurse Specialist, Doctor of Philosophy, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200241377RN | OR | MD | Registered Nurse |
| 200670004CNS | OR | MD | Gerontology Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 200241377RN | OR | |
| Gerontology Registered Nurse | 163WG0600X | 200670004CNS | OR | Yes |
Addresses
Primary practice location
23375 NE Ridge Rd
Gaston, OR 97119-8402
Mailing address
23375 NE Ridge Rd
Gaston, OR 97119-8402
Phone (503) 841-8174
Other providers in Gaston, OR
- Aloura Linfesty
- Rose A Noah
- K'Rene Marie Sher
- Sightseeing Mobile Eye Healthcare
- Sunset Psychiatry, LLC
All providers in Gaston, OR · Gerontology Registered Nurse in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.