Individual
DR. LOVELINE OZIOMA IMANATUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
4550 KRUSE WAY, LAKE OSWEGO, OR 97035-3594
(458) 600-2389
(877) 323-0696
Mailing address
4550 KRUSE WAY STE 125, LAKE OSWEGO, OR 97035-3533
(458) 600-2389
(877) 323-0696
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
257896
AZ
363LA2200X
Adult Health Nurse Practitioner
2020044450
AZ
363LG0600X
Gerontology Nurse Practitioner
2020044450
AZ
363LP2300X
Primary Care Nurse Practitioner
2020044450
AZ
Other
Enumeration date
06/27/2021
Last updated
04/17/2025
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