Individual
ANGELINE GRACE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1151 N ADAIR ST, CORNELIUS, OR 97113-8900
(503) 359-5564
(503) 357-4371
Mailing address
328 W MAIN ST, SUITE 300, HILLSBORO, OR 97123-3967
(503) 352-8642
(503) 352-8658
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201407420NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201407420NP-PP
OR LICENSE
OR
Enumeration date
08/05/2015
Last updated
08/20/2015
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