Individual
MAUREEN J. OLIVERIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(800) 452-3563
Mailing address
PO BOX 574, PORTLAND, OR 97207-0574
(503) 494-2069
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
000029869N2
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
000029869RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210423
—
OR
Enumeration date
08/01/2006
Last updated
07/12/2007
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