Individual
MEGHAN SUMMER PEREZ MUIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, CPNP-PC
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5710
(503) 346-0645
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5710
(503) 346-0645
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
10018871
OR
363LP0200X
Pediatric Nurse Practitioner
209026025
IL
Other
Enumeration date
09/28/2022
Last updated
07/10/2024
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