Individual
MICHAELA LEANNE CRIBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2801 N GANTENBEIN AVE, ATTN: MICHAELA CRIBB, CPNP, PORTLAND, OR 97227-1623
(503) 276-6858
Mailing address
2801 N GANTENBEIN AVE, ATTN: MICHAELA CRIBB, CPNP, PORTLAND, OR 97227-1623
(503) 276-6858
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
201401668NP-PP
OR
363LP0200X
Pediatric Nurse Practitioner
21982
CA
363LP0200X
Pediatric Nurse Practitioner
AP60452754
WA
Other
Enumeration date
07/03/2012
Last updated
12/03/2014
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