IndividualActive
Jarrod Kucherak, MSN, APRN, FNP-C
NPI 1801554092 · Family Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1801554092
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- MSN, APRN, FNP-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 10026960 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
12710 Se Division St
Portland, OR 97236-3134
Phone: (440) 832-1873
Approximate (ZIP-level) locationGet directions
Mailing address
12710 Se Division St
Portland, OR 97236-3134
Registry dates
- Enumerated
- 2021-12-04
- Last updated
- 2024-08-07
- Certified
- 2024-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.