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Individual

BETTY L SIMNITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
18610 NW CORNELL RD, STE 100, HILLSBORO, OR 97124-9206
(503) 216-9360
(503) 460-0434
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200750008NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
247518
OR
Enumeration date
02/02/2007
Last updated
01/09/2012
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