LAURA ADAMS JETMALANI PNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1356356877- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PNP
- Status
- Active
Contact & Location
- Address
- 707 SW GAINES ST, PORTLAND, OR, 972392901
- Phone
- (800) 452-3563
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: OR #82010753N2
Nurse Practitioner, Pediatrics
License: OR #82010753RN
All Addresses
MAILING
5708 SUNCREEK DR
LAKE OSWEGO, OR, 970358777