Individual provider · Type 1 NPI
Marilyn Luzod Mendoza, NP
Nurse Practitioner · Portland, OR
Practice location
10201 SE Main St, Suite 29
Portland, OR 97216-2937
Fax (503) 251-6239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1326009622
Marilyn Luzod Mendoza, NP's National Provider Identifier is 1326009622, issued on Mar 28, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Portland, OR. The record was last updated on Jul 13, 2026.