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Individual

ABIGAIL MARIE PARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 413-8407
Mailing address
PO BOX 4365, PORTLAND, OR 97208-4365
(503) 413-3900

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
202100429NP
OR
363LG0600X
Gerontology Nurse Practitioner
202100429NP-PP
OR

Other

Enumeration date
03/04/2021
Last updated
07/11/2023
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