Individual
JANICE T CHUSSIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
9495 SW LOCUST ST STE A, PORTLAND, OR 97223-6683
(503) 445-2200
(503) 445-2201
Mailing address
9495 SW LOCUST ST, STE A, PORTLAND, OR 97223-6683
(503) 636-9011
(503) 636-3952
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
090007375N3ANP-PP
OR
Other
Enumeration date
05/03/2007
Last updated
01/19/2016
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