Individual
MR. JAMES ARTHUR MCAVOY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
17727 E BURNSIDE ST, PORTLAND, OR 97233-4803
(503) 215-9800
(503) 215-9810
Mailing address
2121 SE BELMONT ST APT 419, PORTLAND, OR 97214-3478
(206) 359-2526
(503) 215-9810
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
201906009RN
OR
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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