Individual
SUMMER CHANTAL HARNESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4309 OAKRIDGE RD, LAKE OSWEGO, OR 97035-3418
(503) 673-3893
Mailing address
4309 OAKRIDGE RD, LAKE OSWEGO, OR 97035-3418
(503) 388-3334
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10007640
OR
Other
Enumeration date
04/08/2022
Last updated
08/03/2024
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