Organization · Type 2 NPI
Northwest Iv, LLC
Family Nurse Practitioner · Portland, OR
NPI number
1023596541
Active
Practice location
6400 SE Lake Rd Ste 155
Portland, OR 97222-2137
Fax (503) 917-4971
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology Physician | 207L00000X | MD22534 (OR) |
| Nurse Practitioner | 363L00000X | None listed |
| Family Nurse Practitioner Primary | 363LF0000X | 201392160NP-PP (OR) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
- Guadalupe Clementina Gabba, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Portland, OR NPI 1063701126
- Jennifer Erin Bray, F.N.P.Family Nurse Practitioner Portland, OR NPI 1407868805
- Jill Ann Carter, DNP, PMHNP, FNPPsychiatric/Mental Health Nurse Practitioner Portland, OR NPI 1700211513
- Sarah Joy Taylor, FNPFamily Nurse Practitioner Portland, OR NPI 1669005997
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- Pohala Clinic PCFamily Nurse Practitioner Portland, OR NPI 1689025231
- Monarch West LLCFamily Nurse Practitioner Portland, OR NPI 1689502056
- Stacy Marie Np, LLC dba Remedy Functional MedicineFamily Nurse Practitioner Portland, OR NPI 1932023207
About NPI 1023596541
Northwest Iv, LLC's National Provider Identifier is 1023596541, issued on Aug 6, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Feb 5, 2026.