Individual
PATRICIA OFOEGBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Contact information
Practice address
1201 NE LLOYD BLVD, PORTLAND, OR 97232-1202
(323) 378-0385
Mailing address
1201 NE LLOYD BLVD, PORTLAND, OR 97232-1202
(323) 378-0385
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10005868
OR
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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