Individual
LORRAINE GIORDANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4805 NE GLISAN ST, SUITE 3E, PORTLAND, OR 97213-2933
(503) 125-7669
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
085077937N6
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
085077937N6
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
085077937RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273932
—
OR
05
—
500626986
—
OR
01
—
P00461859
RR MEDICARE
OR
Enumeration date
06/29/2006
Last updated
08/20/2013
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