Individual
JEAN MARIE NAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 285-9321
Mailing address
2134 NE BRAZEE ST, PORTLAND, OR 97212-4657
(503) 281-8271
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
078040879N2
OR
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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