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Individual

JANICE A TSUCHIDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
3305 19TH AVE, FOREST GROVE, OR 97116-1909
(503) 357-7194
(503) 357-5735
Mailing address
3305 19TH AVE, FOREST GROVE, OR 97116-1909
(503) 357-7194
(503) 357-5735

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
00037477
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020711000
BCBS
OR
05
26676-7
OR
Enumeration date
12/11/2006
Last updated
10/06/2020
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