Individual
JULIE GHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(208) 867-6815
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
34553
ID
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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