Individual
IVA JURIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # CDW6, PORTLAND, OR 97239-3011
(503) 494-4808
Mailing address
3181 SW SAM JACKSON PARK RD # CDW6, PORTLAND, OR 97239-3011
(503) 494-4808
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201608793NP-PP
OR
Other
Enumeration date
01/24/2014
Last updated
11/06/2017
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