Individual provider · Type 1 NPI
Machya Spelletich-Pecoraro
Acute Care Nurse Practitioner · Portland, OR
NPI number
1740794072
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Fax (503) 346-6810
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 201392174RN (OR) |
| Family Nurse Practitioner | 363LF0000X | 201710045NP-PP (OR) |
| Acute Care Nurse Practitioner Primary | 363LA2100X | 202107394NP-PP (OR) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1740794072
Machya Spelletich-Pecoraro's National Provider Identifier is 1740794072, issued on Nov 22, 2017. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Portland, OR. The record was last updated on Jan 11, 2022.