Individual
NANCY SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19875 SW 65TH AVE, SUITE 100, TUALATIN, OR 97062-8353
(503) 756-1080
(503) 692-6702
Mailing address
19875 SW 65TH AVE, SUITE 100, TUALATIN, OR 97062-8353
(503) 756-1080
(503) 692-6702
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
095006549RN
OR
Other
Enumeration date
06/20/2016
Last updated
06/20/2016
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