Individual
NANCY MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
522 SW 5TH AVE, PORTLAND, OR 97204-2133
(503) 732-0069
Mailing address
522 SW 5TH AVE, PORTLAND, OR 97204-2133
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201150157NP
OR
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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