Individual
REZA ANTOSZEWSKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1015 NW 22ND AVE, LEGAGACY - GOOD SAMARITIAN - INTEGRATIVE CANCER CARE, PORTLAND, OR 97210-3025
(503) 413-6535
(503) 413-8363
Mailing address
1015 NW 22ND AVE, LEGAGACY - GOOD SAMARITIAN - INTEGRATIVE CANCER CARE, PORTLAND, OR 97210-3025
(503) 413-6535
(503) 413-7491
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
171265
MA
Other
Enumeration date
12/14/2006
Last updated
01/09/2014
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