Individual
MRS. MARIA IDELSI ORTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
37648 DUBARKO RD, SANDY, OR 97055-6338
(503) 668-7642
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200850136NP FNP-PP
OR
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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