Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Roberta Kornblum, RN

Individual provider Registered Nurse · NPI 1871639641

Roberta Kornblum, RN is a Registered Nurse in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

3034 NE M L King Blvd
Portland, OR 97212-3053
Phone: (503) 283-3763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 086006572RN (OR)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1871639641
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedJanuary 29, 2007
Last updated in NPPESJuly 2, 2008

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