Individual
NELLYDA M ANSLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
10690 NE CORNELL RD STE 215, HILLSBORO, OR 97124-9224
(503) 216-5240
Mailing address
4400 NE HALSEY ST STE 200, PORTLAND, OR 97213-1545
(503) 215-6556
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
201408083NP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
Primary
201408083NP-PP
OR
363LP2300X
Primary Care Nurse Practitioner
200641338RN
OR
Other
Enumeration date
08/20/2014
Last updated
05/28/2025
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