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NORTHWEST IV, LLC

Organization (NPI-2) Active

Nurse Practitioner, Family

Provider Information

NPI Number
1811600471
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
16100 NW CORNELL RD STE 190, BEAVERTON, OR, 970068104
Phone
(714) 055-9609
Fax
(971) 405-5961

Specialties & Taxonomies

Nurse Practitioner
Nurse Practitioner, Family Primary

All Addresses

MAILING

6400 SE LAKE RD STE 155

PORTLAND, OR, 972222137

(971) 358-9292

LOCATION

16100 NW CORNELL RD STE 190

BEAVERTON, OR, 970068104

(714) 055-9609