NPI | 1255160420 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH A HOLMES Nurse Practitioner 503-447-6886 |
Organization Subpart ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner |
Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
163W00000X Registered Nurse | |
Enumeration Date | 2024-07-29 |
Last Update Date | 2024-07-29 |