KATIE MANSOUR

PORTLAND, OR
NPI1760918387
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201608205NP-PP)
Enumeration Date2017-05-02
Last Update Date2018-07-31
Business Address
KATIE MANSOUR FNP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Phone number: 503-494-7500
Mailing Address
KATIE MANSOUR FNP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-7500
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