Individual
NELLY MERVEILLE NZOKOU NKENFACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(971) 570-4676
Mailing address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1234
OR
Other
Enumeration date
09/19/2022
Last updated
06/11/2024
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