Organization
FIBROMYALGIA FOCUS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL ANN HRYCIW MS, FNP (NURSE PRACTITIONER)
(971) 344-8600
Entity
Organization
Contact information
Practice address
1675 SW MARLOW AVE, SUITE 210B, PORTLAND, OR 97225-5104
(503) 389-3106
(503) 546-4223
Mailing address
1675 SW MARLOW AVE STE 210B, PORTLAND, OR 97225-5162
(503) 389-3106
(503) 546-4223
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200150080
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R180604
MEDICARE PTAN
OR
Enumeration date
01/30/2016
Last updated
02/13/2017
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