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Individual

LATANYA NIKKOLE WESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
1425 BEAVERCREEK RD, OREGON CITY, OR 97045
(503) 655-8471
Mailing address
2051 KAEN RD, 367, OREGON CITY, OR 97045-4035
(503) 650-3110

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
201609584NP-PP
OR
363L00000X
Nurse Practitioner
RN 188640
GA
363LP2300X
Primary Care Nurse Practitioner
0024176026
VA
363LP2300X
Primary Care Nurse Practitioner
AP60726772
WA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN188640
GA

Other

Enumeration date
10/05/2015
Last updated
05/03/2021
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