Individual
MANAR SURUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 SE 82ND AVE, PORTLAND, OR 97216-1410
(971) 254-8916
Mailing address
2110 SE 82ND AVE, PORTLAND, OR 97216-1410
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
10046987
OR
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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