NICOLE MARIE DESIDERATI

PORTLAND, OR
NPI1558548370
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  201350103NP)
Enumeration Date2008-01-23
Last Update Date2014-12-17
Business Address
Ms. NICOLE MARIE DESIDERATI RN PMHNP-BC
10011 SE DIVISION ST SUITE 203
PORTLAND, OR 97266-1351
Phone number: 503-255-2343
Mailing Address
Ms. NICOLE MARIE DESIDERATI RN PMHNP-BC
PO BOX 16308
PORTLAND, OR 97292-0308
Phone number: 503-255-2343
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