Individual
MARIANNE WENGRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18870 SW ALOHA CT, BEAVERTON, OR 97006
(209) 609-0931
Mailing address
18870 S.W.ALOHA CT., BAEVERTON, OR 97006
(209) 609-0931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
20124101RN
OR
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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