Individual
SHILA WACHTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7134 N IVANHOE ST, PORTLAND, OR 97203-3943
(503) 936-2153
Mailing address
7134 N IVANHOE ST, PORTLAND, OR 97203-3943
(503) 936-2153
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN00129236
WA
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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