Individual
MARISA GILLASPIE AZIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
4400 NE HALSEY ST, PORTLAND, OR 97213-1545
(541) 610-3346
Mailing address
2384 STONEFIELD WAY, MEDFORD, OR 97501-1890
(541) 610-3346
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
201902181CNS
OR
Other
Enumeration date
03/16/2022
Last updated
03/12/2024
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