OrganizationActive
Carolyn D Concia NP Prof Corp
NPI 1487216669 · Gerontology Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1487216669
- Entity type
- Organization
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Authorized official
- Carolyn Concia, Owner
Mailing address
2308 Nw Stimpson Ln
Portland, OR 97229-8562
Registry dates
- Enumerated
- 2019-07-08
- Last updated
- 2019-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.