Individual
CHERI SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
7230 SW BURLINGAME AVE, PORTLAND, OR 97219-2135
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
201501553
OR
Other
Enumeration date
09/11/2012
Last updated
02/01/2019
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