Individual provider · Type 1 NPI

Angela Massoni-Blaine

Adult Health Nurse Practitioner · Portland, OR

NPI number 1043649908 Active

Practice location

2222 NW Lovejoy St
Portland, OR 97210-3033

Other practice locations

  • 1220 12th St SE, Ste 120, Washington, DC 20003-3722 · (202) 715-7900

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X23638 (CA)
Adult Health Nurse Practitioner Primary 363LA2200X201910414NP-PP (OR)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1043649908

Angela Massoni-Blaine's National Provider Identifier is 1043649908, issued on Nov 1, 2013. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Portland, OR. The record was last updated on Aug 26, 2020.