Individual
AYUMI MIZUNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
7790 SW MOHAWK ST, TUALATIN, OR 97062-9191
(503) 885-1515
(503) 885-1520
Mailing address
7790 SW MOHAWK ST, TUALATIN, OR 97062-9191
(503) 885-1515
(503) 885-1520
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
10031967
OR
Other
Enumeration date
03/28/2025
Last updated
02/23/2026
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