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Individual

MRS. MARIA NINA VILLARREAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1130 NW 22ND AVE STE 410, PORTLAND, OR 97210-2911
(503) 229-7137
(503) 241-0628
Mailing address
6415 NE CLEVELAND AVE, PORTLAND, OR 97211-2403
(503) 729-6956

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
097000288RN
OR
363LF0000X
Family Nurse Practitioner
Primary
201050009NP
OR

Other

Enumeration date
08/27/2008
Last updated
11/02/2017
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