Individual
MRS. NARCY MANEJA FORAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
3181 SW SAM JACKSON PARK ROAD, OC14HO, PORTLAND, OR 97239
(503) 494-5058
(503) 494-3465
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
(866) 617-6855
(503) 346-8015
Taxonomy
Speciality
Code
Description
License number
State
261QX0200X
Oncology Clinic/Center
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
10029013
OR
Other
Enumeration date
05/10/2024
Last updated
09/10/2024
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