Individual provider · Type 1 NPI
Iva Juric
Pediatric Nurse Practitioner · Portland, OR
NPI number
1003239120
Active
Practice location
3181 SW Sam Jackson Park Rd # CDW6
Portland, OR 97239-3011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 201608793NP-PP (OR) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1003239120
Iva Juric's National Provider Identifier is 1003239120, issued on Jan 24, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Nov 6, 2017.