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1154392223
NICOLE GAY INGRAM
TUALATIN, OR
NPI
1154392223
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 200550147)
Enumeration Date
2006-01-27
Last Update Date
2017-11-09
Business Address
Ms. NICOLE GAY INGRAM FNP
19250 SW 65TH AVE SUITE 300
TUALATIN, OR 97062-7452
Phone number: 503-855-1205
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Mailing Address
Ms. NICOLE GAY INGRAM FNP
7405 SW BARBUR BLVD STE 250
PORTLAND, OR 97219-2289
Phone number: 503-919-0700
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