Individual
MS. MARIANNE HALUSKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5626
(503) 494-5627
Mailing address
3110 SW DOSCHDALE DR, PORTLAND, OR 97239-1156
(503) 494-5626
(503) 494-5627
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
—
OR
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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