Individual
ANGELA GERRARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-5550
Mailing address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-5550
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200742866RN
OR
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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