Individual provider · Type 1 NPI
Judy Vickery
Community Health Registered Nurse · Beaverton, OR
NPI number
1063103158
Active
Practice location
20545 SW Parker Ct
Beaverton, OR 97078-1030
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | 200941059RN (OR) |
Community Health Registered Nurse: Definition to come...
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About NPI 1063103158
Judy Vickery's National Provider Identifier is 1063103158, issued on May 18, 2023. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Beaverton, OR. The record was last updated on May 18, 2023.