Individual provider · Type 1 NPI

Martha Driessnack

Pediatric Nurse Practitioner · Portland, OR

NPI number 1740698745 Active

Practice location

3455 SW US Veterans Hospital Rd, SN-6S
Portland, OR 97239-3076

Mailing address

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X201350041NP (OR)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1740698745

Martha Driessnack's National Provider Identifier is 1740698745, issued on Jul 23, 2014. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Jul 23, 2014.