Willamette Health & Wellness

NPI 1093140188 - Nurse Practitioner - 363LP0808X

NPI Details
NPI 1093140188
Enumeration Date 09/07/2013
Last Updated 02/28/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name NICOLE NICOLE
Position OWNER
Phone (503) 729-1380
Fax
Practice Location
700 NE MULTNOMAH ST
SUITE 275
PORTLAND OR, 97232-2131, US
Phone (503) 729-1380
Fax
Business Location
700 NE MULTNOMAH ST
STE 275
PORTLAND OR, 97232, US
Phone (503) 729-1380
Fax
Toxanomy
Taxonomy Code 363LP0808X
License State Oregon
License Number 15738542
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According to our database, Willamette Health & Wellness NPI is 1093140188, taxonomy code is 363LP0808X and license number is 15738542, license state is located at Oregon. Willamette Health & Wellness physically located at 700 Ne Multnomah St, Portland OR, 97232-2131. NPI Number 1033115704 has the healthcare provider type.

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1093140188 NPI number is provided on an as is basis without warranty of any kind. 1093140188 is maintained by the National Plan & Provider Enumeration System. The contents of Willamette Health & Wellness are for informational purposes only.