Individual
HOLLY JEAN CORNWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
501 N GRAHAM ST, SUITE 375, PORTLAND, OR 97227-1654
(503) 413-1600
(503) 413-1915
Mailing address
501 N GRAHAM ST, SUITE 375, PORTLAND, OR 97227-1654
(503) 413-1600
(503) 413-1915
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
200841070RN
OR
Other
Enumeration date
03/08/2010
Last updated
08/13/2014
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