Unknown Individual – Family Nurse Practitioner, NPI 1992802565
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
Southeast Division Street, Centennial, Portland, Metro, Multnomah County, Oregon, 97233, United States
PORTLAND, OR 972061059
Phone: (503) 777-3311
Type: Location
18929, Southwest Indian Springs Road, Rosewood, Jean, Lake Oswego, Clackamas County, Oregon, 97035, United States
LAKE OSWEGO, OR 970358329
Phone:
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 97206)
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