Individual
RAQUEL A BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12400 NW CORNELL RD STE 100, PORTLAND, OR 97229
(503) 291-4000
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201907686NP-PP
OR
Other
Enumeration date
09/10/2019
Last updated
02/05/2021
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