Individual provider · Type 1 NPI

Emily Grace Douglass Fernando, PNP

Pediatric Nurse Practitioner · Portland, OR

NPI number 1982304630 Active

Practice location

830 NE 47th Ave
Portland, OR 97213-2212

Call (503) 216-2339 Map

Mailing address

PO Box 3158
Portland, OR 97208-3158

Specialties and licenses

TaxonomyCodeLicense
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X10000858 (OR)
Pediatric Nurse Practitioner Primary 363LP0200X10000858 (OR)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1982304630

Emily Grace Douglass Fernando, PNP's National Provider Identifier is 1982304630, issued on Mar 9, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Feb 14, 2025.