Individual
ALTA MAY HERTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
10330 SE 32ND AVE, SUITE 325, MILWAUKIE, OR 97222-6587
(503) 416-1960
(503) 416-1959
Mailing address
4224 NE 141ST AVE, VANCOUVER, WA 98682-6957
(360) 600-5727
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201608176RN
OR
163W00000X
Registered Nurse
RN60702554
WA
Other
Enumeration date
03/23/2017
Last updated
03/27/2017
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