Individual
MS. MARY ANN NAMETKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP,MSN,CWON,FNP-BC
Contact information
Practice address
7914 SE MAIN ST, PORTLAND, OR 97215-3031
(503) 888-0390
(888) 898-0933
Mailing address
7914 SE MAIN ST, PORTLAND, OR 97215-3031
(503) 888-0390
(888) 898-0933
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200750071NP
OR
363LF0000X
Family Nurse Practitioner
AP60063158
WA
Other
Enumeration date
08/06/2006
Last updated
01/28/2024
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