Individual
MRS. NIYYAH RUSCHER-HAQQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
619 NW 6TH AVE STE 200, PORTLAND, OR 97209-3964
(503) 988-3700
Mailing address
619 NW 6TH AVE FL 5, PORTLAND, OR 97209-3964
(503) 988-7468
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201707822NP-PP
OR
363LF0000X
Family Nurse Practitioner
201707822NP-PP
OR
Other
Enumeration date
09/25/2017
Last updated
09/13/2023
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