Individual
MS. JULIA L REODICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP-C
Contact information
Practice address
1012 SW GAINES ST, PORTLAND, OR 97239-7403
(858) 367-3672
Mailing address
1012 SW GAINES ST, PORTLAND, OR 97239-7403
(858) 367-3672
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
592944
NY
163W00000X
Registered Nurse
RN727268
CA
163WC0200X
Critical Care Medicine Registered Nurse
200943239RN
OR
363LF0000X
Family Nurse Practitioner
Primary
F1013361
OR
Other
Enumeration date
01/22/2014
Last updated
01/22/2014
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