Individual
JENNIFER EDITH PIZZUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7711
Mailing address
PO BOX 3808, PORTLAND, OR 97208-3808
(503) 413-3900
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201707061NP-PP
OR
Other
Enumeration date
10/19/2017
Last updated
03/17/2018
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