Caitlin Staver

Nurse Practitioner · Tigard, OR

Individual Active NPI

NPI number 1417731605

Practice location

11675 SW Pacific Hwy
Tigard, OR 97223-8672
Phone
(503) 305-6262

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NPI record

NPI
1417731605
Entity type
Individual (Type 1)
Enumeration date
August 21, 2023
Last updated
May 7, 2024
Certified
May 7, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 10019683 OR
Critical Care Medicine Registered Nurse 163WC0200X 14-148494-012 KS

Mailing address

7927 Randall Dr
Lenexa, KS 66215-6109
Phone
(563) 370-9485

Other practice locations (4)

  • 1071 SE Tualatin Valley Hwy, Hillsboro, OR 97123-5069 · (503) 305-6262
  • 397 Warner Milne Rd, Oregon City, OR 97045-4045 · (503) 305-6262
  • 14278 SW Allen Blvd, Beaverton, OR 97005-4405 · (503) 305-6262
  • 7033 NE Sandy Blvd, Portland, OR 97213-5277 · (503) 305-6262

About Caitlin Staver

Caitlin Staver is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 11675 SW Pacific Hwy, Tigard, OR 97223-8672. The NPI number 1417731605 was assigned on August 21, 2023 and the record was last updated on May 7, 2024.

Caitlin Staver lists 2 licenses in the registry: #10019683 (OR) for Nurse Practitioner; #14-148494-012 (KS) for Critical Care Medicine Registered Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Caitlin Staver?

The NPI number is 1417731605.

What is the phone number of Caitlin Staver?

The phone number listed for the practice location is (503) 305-6262.

Where is Caitlin Staver located?

11675 SW Pacific Hwy, Tigard, OR 97223-8672.

What is the taxonomy code for Caitlin Staver?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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