Provider Demographics
NPI:1366714560
Name:WEHRSPANN, KARINA L (ANP)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:L
Last Name:WEHRSPANN
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:KARINA
Other - Middle Name:L
Other - Last Name:MOE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:21110 NW ROCK CREEK BLVD
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229-1040
Mailing Address - Country:US
Mailing Address - Phone:503-686-1137
Mailing Address - Fax:
Practice Address - Street 1:9900 BREN RD E
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55343-9664
Practice Address - Country:US
Practice Address - Phone:971-347-6443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-02
Last Update Date:2020-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR089006977N3363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health