Unknown Heron RN

NPI 1831265479 - Registered Nurse - 163WC1500X

NPI Details
NPI 1831265479
Gender Female
Enumeration Date 11/27/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
3828 N KISKA CT
PORTLAND OR, 97217-7342, US
Phone (503) 285-4339
Fax
Business Location
3828 N KISKA CT
PORTLAND OR, 97217-7342, US
Phone (503) 285-4339
Fax
Toxanomy
Taxonomy Code 163WC1500X
License State
License Number
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According to our database, Ms. Unknown Heron RN NPI is 1831265479, taxonomy code is 163WC1500X Unknown Heron RN physically located at 3828 N Kiska Ct, Portland OR, 97217-7342. NPI Number Unknown Heron RN has the Individual type.

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1831265479 NPI number is provided on an as is basis without warranty of any kind. 1831265479 is maintained by the National Plan & Provider Enumeration System. The contents of Unknown Heron RN are for informational purposes only.