Individual
DR. MARIA GUSENKOV REEBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP-FNP
Contact information
Practice address
12285 SW MAIN ST, TIGARD, OR 97223-6221
(925) 818-3056
Mailing address
13080 SW 107TH CT, TIGARD, OR 97223-3943
(925) 818-3056
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10030824
OR
Other
Enumeration date
08/05/2024
Last updated
08/05/2024
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