Individual
PATRICIA HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 NE 78TH CT STE A3, PORTLAND, OR 97218-2823
(503) 252-3949
(503) 252-4027
Mailing address
6601 NE 78TH CT STE A3, PORTLAND, OR 97218-2823
(503) 252-3949
(503) 252-4027
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201907677LPN
OR
Other
Enumeration date
02/06/2020
Last updated
02/06/2020
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