Individual
NANIS GILMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
541 NE 20TH AVE, SUITE 210, PORTLAND, OR 97232-2862
(503) 233-6940
(503) 236-2676
Mailing address
541 NE 20TH AVE, SUITE 210, PORTLAND, OR 97232-2862
(503) 233-6940
(503) 236-2676
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
081001531RN
OR
Other
Enumeration date
04/09/2009
Last updated
04/09/2009
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