Individual
MARISA IRENE GILMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, CNM, ARNP
Contact information
Practice address
1608 SE ANKENY ST, PORTLAND, OR 97214-1448
(503) 233-3001
Mailing address
11205 SW BOXWOOD CT, TIGARD, OR 97223-4220
(503) 382-9108
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
202212292RN
OR
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
10033269
OR
Other
Enumeration date
02/26/2024
Last updated
09/27/2024
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