Individual
ANNE HULSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC,RN
Contact information
Practice address
2952 NE 34TH AVE, PORTLAND, OR 97212-2705
(503) 422-2705
Mailing address
2952 NE 34TH AVE, PORTLAND, OR 97212-2705
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
38832RN
OR
363LF0000X
Family Nurse Practitioner
Primary
201401416NP-PP
OR
Other
Enumeration date
07/26/2013
Last updated
04/01/2014
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