Individual provider · Type 1 NPI

Marissa Christine Macedo, NNP

Critical Care Neonatal Nurse Practitioner · Portland, OR

NPI number 1104177989 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

2241 Lloyd Center
Portland, OR 97232

Specialties and licenses

TaxonomyCodeLicense
Critical Care Neonatal Nurse Practitioner Primary 363LN0005X201250151NP (OR)

Critical Care Neonatal Nurse Practitioner: Definition to come...

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About NPI 1104177989

Marissa Christine Macedo, NNP's National Provider Identifier is 1104177989, issued on Sep 20, 2012. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Portland, OR. The record was last updated on Oct 29, 2013.