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-- JERALD WILLIAM DRISKELL -- R.N., FNP-C

Individual Provider (NPI-1) Active

Nurse Practitioner

Provider Information

NPI Number
1578766861
Provider Type
Individual Provider (NPI-1)
Credentials
R.N., FNP-C
Status
Active

Contact & Location

Address
2850 SE POWELL VALLEY RD, GRESHAM, OR, 97080
Phone
(503) 666-5050

Specialties & Taxonomies

Registered Nurse License: OR #200740644RN
Registered Nurse License: TX #509631
Nurse Practitioner License: TX #509631
Nurse Practitioner Primary License: OR #200750068NP

All Addresses

MAILING

PO BOX 3777

PORTLAND, OR, 97208

LOCATION

2850 SE POWELL VALLEY RD

GRESHAM, OR, 97080

(503) 666-5050