Individual
MRS. JULIA ROSE GERTSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1800 NE MARKET DR, FAIRVIEW, OR 97024-7000
(503) 220-3494
Mailing address
1800 NE MARKET DR, FAIRVIEW, OR 97024-7000
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
201143104RN
OR
363LP2300X
Primary Care Nurse Practitioner
Primary
202206133NP-PP
OR
Other
Enumeration date
04/13/2012
Last updated
07/05/2022
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