Organization · Type 2 NPI
Agewell Geriatrics, LLC
Primary Care Nurse Practitioner · Beaverton, OR
NPI number
1225698889
Active
Practice location
13120 SW Heather Ct
Beaverton, OR 97008-5612
Fax (503) 639-3870
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1225698889
Agewell Geriatrics, LLC's National Provider Identifier is 1225698889, issued on Jun 17, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Beaverton, OR. The record was last updated on Jun 17, 2019.