Individual
INGRID FLANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3360 NE 133RD AVE, PORTLAND, OR 97230-2811
(541) 991-0171
Mailing address
3360 NE 133RD AVE, PORTLAND, OR 97230-2811
(541) 991-0171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
200350092NP
OR
363LF0000X
Family Nurse Practitioner
Primary
AP30006571
WA
363LP2300X
Primary Care Nurse Practitioner
200350092NP
OR
363LP2300X
Primary Care Nurse Practitioner
AP30006571
WA
Other
Enumeration date
08/10/2005
Last updated
04/16/2024
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