Individual
MS. CAROLYN RUTH NOWOSIELSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3231 SE 59TH AVE, PORTLAND, OR 97206
(503) 775-4931
Mailing address
10201 SE MAIN ST STE 10, PORTLAND, OR 97216-2937
(503) 255-2186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
206650011NPFNPPP
OR
Other
Enumeration date
09/29/2006
Last updated
06/22/2018
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