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Individual

PIMSANI WESLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4805 NE GLISAN ST STE 11N, PORTLAND, OR 97213-2933
(503) 215-2300
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
202110761NP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
202110761NP-PP
OR

Other

Enumeration date
12/16/2022
Last updated
04/26/2023
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