Individual provider · Type 1 NPI
Rogelio Luis Lugo Iii, NP
Acute Care Nurse Practitioner · Portland, OR
NPI number
1124532981
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
6235 NE 7th Ave
Portland, OR 97211-3754
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | AP60799726 (WA) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 201710169NP-PP (OR) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1124532981
Rogelio Luis Lugo Iii, NP's National Provider Identifier is 1124532981, issued on Nov 30, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Portland, OR. The record was last updated on Mar 7, 2018.