Individual
PATTY GUIDICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-1234
Mailing address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
200150016NP
OR
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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