Individual
FARRAH F NOSRATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10763 SW GREENBURG RD STE 100, TIGARD, OR 97223-5492
(503) 684-8159
(503) 598-0934
Mailing address
15456 SW APPLEWOOD LN, TIGARD, OR 97224-1836
(503) 906-0005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201509140RN
OR
Other
Enumeration date
09/08/2017
Last updated
09/08/2017
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