Individual
MARINA VITALEYVNA NOZDRIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11782 SW BARNES RD, PORTLAND, OR 97225-5914
(503) 906-4300
Mailing address
4262 COBB WAY, LAKE OSWEGO, OR 97035-6563
(503) 317-7444
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200040588RN
OR
Other
Enumeration date
05/04/2024
Last updated
05/04/2024
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