Individual
GRETCHEN C BURCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
25050 SE STARK ST STE 265, GRESHAM, OR 97030-3388
(503) 674-1520
Mailing address
25050 SE STARK ST STE 265, GRESHAM, OR 97030-3388
(503) 674-1520
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
201902359RN
OR
363L00000X
Nurse Practitioner
202211966NP-PP
OR
363L00000X
Nurse Practitioner
61344536
WA
363LF0000X
Family Nurse Practitioner
Primary
202211966NP-PP
OR
Other
Enumeration date
11/25/2020
Last updated
11/03/2022
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