Organization
PNW IV HYDRATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA CAROLINE GREENE FNP-C (MEDICAL DIRECTOR)
(916) 271-7445
Entity
Organization
Contact information
Practice address
6297 NE SHERBORNE ST, HILLSBORO, OR 97124-7321
(916) 479-5235
Mailing address
6297 NE SHERBORNE ST, HILLSBORO, OR 97124-7321
(916) 479-5235
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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