Individual
PATRICIA ELIZABETH MANSILLA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
342 FAIRVIEW ST, SILVERTON, OR 97381-1917
(503) 873-1690
Mailing address
101 SW MAIN ST STE 940, PORTLAND, OR 97204-3216
(503) 464-9034
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202011185NP-PP
OR
Other
Enumeration date
03/27/2021
Last updated
11/25/2024
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