Individual
SOMMER VERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080-1494
(503) 666-5050
Mailing address
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080-1494
(503) 666-5050
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN00150333
WA
363L00000X
Nurse Practitioner
Primary
201507844NP-PP
OR
390200000X
Student in an Organized Health Care Education/Training Program
200643248RN
OR
Other
Enumeration date
11/25/2014
Last updated
10/30/2015
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