Individual
MRS. GRETCHEN JOHANNA HAMPSHIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1500 NE IRVING ST, SUITE 250, PORTLAND, OR 97232-2243
(503) 258-4200
Mailing address
12360 SW HORIZON BLVD, #102, BEAVERTON, OR 97007-9349
(323) 620-1697
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200642204RN
OR
Other
Enumeration date
09/06/2011
Last updated
09/06/2011
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