Unknown Individual – Family Nurse Practitioner, NPI 1679562235
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States
202
PORTLAND, OR 972256623
Phone: (503) 297-6334
Type: Location
22769, South Haines Road, O'Neil Corners, Canby, Clackamas County, Oregon, 97013, United States
CANBY, OR 970137804
Phone: (971) 275-3938
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97225)
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