Individual
CONNIE MOUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,CDE
Contact information
Practice address
7201 N INTERSTATE AVE, PORTLAND, OR 97217-5523
(503) 286-6816
Mailing address
315 W 7TH ST, LA CENTER, WA 98629-5403
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
RN00069712
WA
163WD0400X
Diabetes Educator Registered Nurse
Primary
—
OR
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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