Individual
MRS. LUCY ANNE TILLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
2724 NE DUNCKLEY ST, PORTLAND, OR 97212-1644
(503) 869-1627
(503) 488-5852
Mailing address
2724 NE DUNCKLEY ST, PORTLAND, OR 97212-1644
(503) 869-1627
(503) 488-5852
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
—
OR
Other
Enumeration date
10/31/2006
Last updated
07/08/2007
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