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Individual

OSA BRIANA PECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CDCES

Contact information

Practice address
16770 SW EDY RD STE 102A, SHERWOOD, OR 97140-9679
(855) 360-5456
Mailing address
4400 NE HALSEY ST BLDG 2, PORTLAND, OR 97213-1545
(855) 360-5456
(503) 215-6240

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
200040786RN
OR

Other

Enumeration date
06/12/2023
Last updated
06/12/2023
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