Individual
MS. NANCY NOVIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA, MS
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 813-3860
Mailing address
500 NE MULTNOMAH ST, SUITE 100, PORTLAND, OR 97232-2023
(503) 813-3860
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
200950055NP
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
200260038CRNA
OR
Other
Enumeration date
08/31/2006
Last updated
11/25/2018
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