Individual
ANDREA LANE MASTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
431 NE 41ST AVE, PORTLAND, OR 97232-3310
(503) 867-4088
Mailing address
431 NE 41ST AVE, PORTLAND, OR 97232-3310
(503) 867-4088
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
201041802RN
OR
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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