Individual
MEGAN GARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1923 NE 60TH AVE, PORTLAND, OR 97213-4129
(503) 308-3880
Mailing address
11611 NE AINSWORTH CIR, PORTLAND, OR 97220-9017
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201394490RN
OR
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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