CORPORATE HEALTH NW
Organization (NPI-2)
Active
Nurse Practitioner, Primary Care
Provider Information
- NPI Number
1548399322- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 10209 SE DIVISION ST, PORTLAND, OR, 972661327
- Phone
- (503) 256-5715
- Fax
- (503) 257-2540
Specialties & Taxonomies
Nurse Practitioner, Primary Care
Primary License: OR #088000392N3