Individual
NANCY CLAIRE WINTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8617
Mailing address
3874 NE ALAMEDA ST, PORTLAND, OR 97212-2818
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD15095
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060223
—
OR
Enumeration date
09/20/2006
Last updated
07/08/2007
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