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Individual

NANCY L SLOAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
ANP

Contact information

Practice address
17070 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-4960
(503) 345-5900
(503) 652-8954
Mailing address
17070 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-4960
(503) 345-5900
(503) 652-8954

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
20065001NP ANP-PP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
271044
OR
Enumeration date
06/06/2006
Last updated
07/08/2007
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