Individual provider · Type 1 NPI

Marcia C. Woodburn, AGACNP

Gerontology Nurse Practitioner · Portland, OR

NPI number 1417343229 Active

Practice location

9135 SW Barnes Rd Ste 461
Portland, OR 97225-6643

Mailing address

PO Box 3158
Portland, OR 97208-3158

Other practice locations

  • 325 9th Ave, Seattle, WA 98104-2420 · (206) 520-5000

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XAP61064540 (WA)
Acute Care Nurse Practitioner 363LA2100X201501919NP-PP (OR)
Gerontology Nurse Practitioner Primary 363LG0600X201501919NP-PP (OR)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1417343229

Marcia C. Woodburn, AGACNP's National Provider Identifier is 1417343229, issued on Apr 8, 2015. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Portland, OR. The record was last updated on Apr 26, 2023.