BRENDA LYNN GROSSNICKLE

PORTLAND, OR
NPI1760954150
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy364S00000X Clinical Nurse Specialist
(Licence: OR  201808009CNS-PP)
Enumeration Date2018-12-22
Last Update Date2018-12-22
Business Address
BRENDA LYNN GROSSNICKLE CNS
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
Mailing Address
BRENDA LYNN GROSSNICKLE CNS
9410 SE NICHOLAS DR
HAPPY VALLEY, OR 97086-7350
Phone number: