Individual
MR. MARK E PUHLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
9205 SW BARNES RD, 2ND FLOOR, WEST PAVILLION, PORTLAND, OR 97225-6629
(503) 216-2188
(503) 216-0820
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201150165NP
OR
363LA2200X
Adult Health Nurse Practitioner
AP30006102
WA
363LC0200X
Critical Care Medicine Nurse Practitioner
AP30006102
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP30006102
STATE ARNP LICENSE
WA
01
—
RN00081896
STATE REGISTERED NURSE
WA
Enumeration date
06/02/2006
Last updated
03/07/2023
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