Individual
ANNA MALORA HARTSHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
9701 SW BARNES RD, SUITE 300, PORTLAND, OR 97225-6772
(503) 297-8081
(503) 292-6601
Mailing address
975 SE SANDY BLVD, SUITE 201, PORTLAND, OR 97214-1308
(503) 236-0775
(503) 236-0786
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
200950124NP
OR
363LF0000X
Family Nurse Practitioner
APN11462
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174724157
—
WA
05
—
500613719
—
OR
Enumeration date
05/29/2007
Last updated
10/02/2012
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