Individual
NALLELY BIRRUETA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2805 E 19TH ST, VANCOUVER, WA 98661-4614
(360) 255-5993
Mailing address
2912 NE ANTHONY LN, ALBANY, OR 97321-9522
(503) 910-7546
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10057645
OR
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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