Individual
BRIANA ROTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5100 SW MACADAM AVE, SUITE 200, PORTLAND, OR 97239-6102
(971) 202-5500
Mailing address
5100 SW MACADAM AVE, SUITE 200, PORTLAND, OR 97239-6102
(971) 202-5500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201141192RN
OR
363LF0000X
Family Nurse Practitioner
201408799NP-PP
OR
Other
Enumeration date
08/05/2014
Last updated
12/30/2014
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