Individual
NORMA J SOFFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2001 NW MONROE AVE STE 104, CORVALLIS, OR 97330-5567
(541) 754-1369
Mailing address
444 NW ELKS DR, CORVALLIS, OR 97330-3745
(541) 754-1150
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201400528RN
OR
363L00000X
Nurse Practitioner
APN001411
NV
363LA2200X
Adult Health Nurse Practitioner
201400533NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
201403003NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407103286
—
NV
01
—
PO1185048
RAILROAD MEDICARE
NV
Enumeration date
08/10/2012
Last updated
06/02/2014
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