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Individual

OLUREMI HILDA BANKOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
11740 SW 68TH PKWY STE 200, TIGARD, OR 97223-9058
(971) 352-6971
Mailing address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-6106
(917) 392-6769

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1019795
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10036357
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1019795
TX

Other

Enumeration date
10/20/2021
Last updated
06/18/2025
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