Individual
FRANCISCO PEDRO MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 489-1662
Mailing address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 489-1662
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201140073RN
OR
Other
Enumeration date
01/24/2011
Last updated
01/24/2011
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