TERRA ELISE D'ANTONIO DUDLEY

PORTLAND, OR
NPI1467144568
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LW0102X Nurse Practitioner Women's Health
(Licence: OR  10008920)
Enumeration Date2023-05-25
Last Update Date2023-10-27
Business Address
TERRA ELISE D'ANTONIO DUDLEY WHCNP
9135 SW BARNES RD STE 761
PORTLAND, OR 97225-6777
Phone number: 503-216-2602
Mailing Address
TERRA ELISE D'ANTONIO DUDLEY WHCNP
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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