Individual
MONIQUE BIEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5329 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97211-3237
(503) 988-5558
Mailing address
PO BOX 11568, PORTLAND, OR 97211-0568
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
202114442NP-PP
OR
363LP2300X
Primary Care Nurse Practitioner
Primary
202114442NP-PP
OR
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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