Individual
SUMMER MORGAN MASSINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
721 NW 9TH AVE STE 100, PORTLAND, OR 97209-3519
(503) 525-0090
Mailing address
2710 SAINT FRANCIS DR, WATERLOO, IA 50702-5619
(319) 272-5000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A134262
IA
363LF0000X
Family Nurse Practitioner
Primary
202213854NP-PP
OR
Other
Enumeration date
04/15/2018
Last updated
01/19/2023
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