Individual
ELIZABETH JOYCE PACARRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
17055 RUBEN LN, SANDY, OR 97055-9276
(503) 668-8002
(503) 668-5246
Mailing address
17055 RUBEN LN, SANDY, OR 97055-9276
(503) 668-8002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN-466
HI
363LF0000X
Family Nurse Practitioner
Primary
10020280
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000254029
HMSA
HI
05
—
523979-01
—
HI
Enumeration date
12/18/2006
Last updated
05/15/2024
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