Individual
NANCY M RONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3528 NE 67TH AVE, PORTLAND, OR 97213-5102
(503) 754-3484
Mailing address
3528 NE 67TH AVE, PORTLAND, OR 97213-5102
(503) 255-2186
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
082024247N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100304
—
OR
Enumeration date
09/21/2005
Last updated
05/08/2026
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