Individual
MAYA STROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C, DNP
Contact information
Practice address
5935 SE BELMONT ST, PORTLAND, OR 97215-1925
(541) 630-0870
Mailing address
5935 SE BELMONT ST, PORTLAND, OR 97215-1925
(541) 638-0870
(833) 390-1391
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201250074NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2049718
—
WA
05
—
500648815
—
OR
Enumeration date
03/25/2011
Last updated
10/16/2021
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