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Desiree Kirk, AGNP — NPI 1346029600, Portland, OR | NPI Central

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NPI 1346029600

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Desiree Kirk, AGNP

NPI 1346029600 · Gerontology Nurse Practitioner · Portland, OR

Provider details

NPI number: 1346029600
Entity type: Individual
Primary specialty: Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Credential: AGNP
Sex: Female
Sole proprietor: No
License: 10010097 (OR)

Specialties & taxonomies

Gerontology Nurse PractitionerPrimary363LG0600XLicense 10010097 (OR)
Physician Assistants & Advanced Practice Nursing Providers
Adult Health Nurse Practitioner363LA2200XLicense 10010097 (OR)
Physician Assistants & Advanced Practice Nursing Providers

Practice location

17727 E Burnside St

Portland, OR 97233

Phone: (503) 215-9800

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

17727 E Burnside St

Portland, OR 97233

Additional practice locations (1)

4400 Ne Halsey St.
Building 1, Suite 200
Portland, OR 97213
Phone: (503) 215-6556

Registry dates

Enumerated: 2023-09-26
Last updated: 2024-10-31
Certified: 2024-10-25

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.