Individual provider · Type 1 NPI
Rose Marie Tyson, RN, ANP
Adult Health Nurse Practitioner · Portland, OR
NPI number
1285856005
Active
Practice location
3181 SW Sam Jackson Park Rd, L-603
Portland, OR 97239-3011
Fax (503) 494-5627
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 090000307N3 ANP-PP (OR) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1285856005
Rose Marie Tyson, RN, ANP's National Provider Identifier is 1285856005, issued on May 2, 2007. 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 Jul 8, 2007.