RHEZARIE MAE A AGTARAP NP-C
Individual Provider (NPI-1)
Active
Nurse Practitioner, Gerontology
Provider Information
- NPI Number
1023576659- Provider Type
- Individual Provider (NPI-1)
- Credentials
- NP-C
- Status
- Active
Contact & Location
- Address
- 4805 NE GLISAN ST STE 11N, PORTLAND, OR, 972132933
- Phone
- (503) 215-1350
Specialties & Taxonomies
Registered Nurse
License: OR #201400803RN
Nurse Practitioner
License: OR #201902328NP-PP
Nurse Practitioner, Primary Care
License: OR #201902328NP-PP
Nurse Practitioner, Gerontology
Primary License: OR #201902328NP-PP
All Addresses
MAILING
PO BOX 3158
PORTLAND, OR, 972083158