Organization · Type 2 NPI
Wilsonville Healthcare LLC
Family Nurse Practitioner · Wilsonville, OR
NPI number
1356716377
Active
Practice location
29702 SW Town Center Loop W, Suite C
Wilsonville, OR 97070-6481
Fax (503) 855-3058
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1356716377
Wilsonville Healthcare LLC's National Provider Identifier is 1356716377, issued on Dec 2, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Wilsonville, OR. The record was last updated on Aug 8, 2016.