Organization
HEALING RESOURCES NW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ANN NAMETKA DNP, CWS, CWON, FNP- (OWNER)
(971) 895-0060
Entity
Organization
Contact information
Practice address
7914 SE MAIN ST, PORTLAND, OR 97215-3031
(503) 888-0390
(888) 898-0933
Mailing address
7914 SE MAIN ST, PORTLAND, OR 97215-3031
(503) 888-0390
(888) 898-0933
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/16/2011
Last updated
01/28/2024
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