Individual
ANDREA MARIE POLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6035 SE MILWAUKIE AVE, PORTLAND, OR 97202-5344
(971) 258-1120
(866) 309-2838
Mailing address
738 BANCROFT RD, WALNUT CREEK, CA 94598-1531
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10031339
OR
363L00000X
Nurse Practitioner
AP61614580
WA
363LF0000X
Family Nurse Practitioner
95016674
CA
Other
Enumeration date
03/31/2021
Last updated
11/23/2024
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