Individual
MS. SERENA LEE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11824 NE STANTON ST, PORTLAND, OR 97220-1763
(971) 235-6880
Mailing address
11824 NE STANTON ST, PORTLAND, OR 97220-1763
(971) 235-6880
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
200940087RN
OR
Other
Enumeration date
06/10/2011
Last updated
06/10/2011
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