MARTHA DRIESSNACK

PORTLAND, OR
NPI1740698745
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: OR  201350041NP)
Enumeration Date2014-07-23
Last Update Date2014-07-23
Business Address
-- MARTHA DRIESSNACK
3455 SW US VETERANS HOSPITAL RD SN-6S
PORTLAND, OR 97239-3076
Phone number: 503-418-1271
Mailing Address
-- MARTHA DRIESSNACK
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-418-5700
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