NORTHWEST IV, LLC

Family Nurse Practitioner

NPI: 1023596541Organization

Specialties, Licenses & Credentials

Anesthesiology Physician

Anesthesiology

Code: 207L00000X

MD22534(OR)

Nurse Practitioner

Nurse Practitioner

Code: 363L00000X

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

201392160NP-PP(OR)

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Contact & Hours

Address: 6400 SE LAKE RD STE 155
PORTLAND, OR 97222
Phone: (503) 447-3285

Quick Facts

NPI: 1023596541
Entity Type: Organization
Medicare: Not confirmed
Specialties: 3
Locations: 1

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