Individual
MRS. JOANNA BETH URETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3060 SE HAWTHORNE BLVD, PORTLAND, OR 97214-4121
(800) 813-2000
Mailing address
4315 SW IOWA ST, PORTLAND, OR 97221-3468
(510) 672-3447
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R192388
MD
Other
Enumeration date
07/25/2012
Last updated
12/20/2021
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