Individual
JERALD WILLIAM DRISKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.N., FNP-C
Contact information
Practice address
2850 SE POWELL VALLEY RD, GRESHAM, OR 97080
(503) 666-5050
Mailing address
PO BOX 3777, PORTLAND, OR 97208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200740644RN
OR
163W00000X
Registered Nurse
509631
TX
363L00000X
Nurse Practitioner
Primary
200750068NP
OR
363L00000X
Nurse Practitioner
509631
TX
Other
Enumeration date
06/06/2007
Last updated
09/02/2016
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