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1225753692
NICOLLE ASENCIO
PORTLAND, OR
NPI
1225753692
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 10031838)
Enumeration Date
2022-10-07
Last Update Date
2024-11-15
Business Address
NICOLLE ASENCIO
19500 SE STARK ST
PORTLAND, OR 97233-5757
Phone number: 800-813-2000
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Mailing Address
NICOLLE ASENCIO
8703 N CHASE AVE
PORTLAND, OR 97217
Phone number: 503-975-6187
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