Individual
SULAY ORDOVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3860
(415) 553-3119
Mailing address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3860
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
201908532RN
OR
164X00000X
Licensed Vocational Nurse
280506
CA
Other
Enumeration date
07/09/2014
Last updated
12/15/2020
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