UNKNOWN HERON

PORTLAND, OR
NPI1831265479
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy163WC1500X Registered Nurse, Community Health
(Licence: OR  089006000RN)
Enumeration Date2006-11-27
Last Update Date2007-07-08
Business Address
Ms. UNKNOWN HERON RN
3828 N KISKA CT
PORTLAND, OR 97217-7342
Phone number: 503-285-4339
Mailing Address
Ms. UNKNOWN HERON RN
3828 N KISKA CT
PORTLAND, OR 97217-7342
Phone number: 503-285-4339
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