Individual
ROSMILI VILLAVICENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
12400 NW CORNELL RD, PORTLAND, OR 97229-5693
(503) 659-1694
Mailing address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-8300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201810081NP-PP
OR
Other
Enumeration date
11/19/2018
Last updated
09/15/2022
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