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Individual

MRS. JULIANA IFEYINWA OGBEAMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
728 MOLALLA AVE STE A&B, OREGON CITY, OR 97045-2799
(503) 656-9030
Mailing address
2730 SE 119TH AVE, PORTLAND, OR 97266-1016

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200850173NP FNP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500634207
OR
Enumeration date
08/22/2007
Last updated
03/07/2023
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