Individual
MS. AMBER ANN BISNU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3710 SW VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
4160 SW 205TH AVE, ALOHA, OR 97078-1193
(503) 688-4411
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201706846LPN
OR
Other
Enumeration date
09/20/2017
Last updated
09/20/2017
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