Individual
MR. FREDERICK MICHAEL MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RN, ACNP, CCRN
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE: UHS 32, PORTLAND, OR 97239-3011
(503) 494-7097
(503) 494-7097
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE: UHS 32, PORTLAND, OR 97239-3011
(503) 494-7097
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
200850055NP
OR
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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