Individual
BINTA KANTORA CLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 NE 162ND AVE, APARTMENT 101, PORTLAND, OR 97230-5888
(503) 875-3616
Mailing address
111 NE 162ND AVE, APARTMENT 101, PORTLAND, OR 97230-5888
(503) 875-3616
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201606727RN
OR
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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