Individual
DAWN NADINE WARDDRIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
445 E MAIN ST, HILLSBORO, OR 97123-4084
(503) 640-2757
(503) 640-9753
Mailing address
445 E MAIN ST, HILLSBORO, OR 97123-4084
(503) 640-2757
(503) 640-9753
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
200050085
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000459
—
OR
01
—
R167203
PTAN
—
Enumeration date
09/30/2005
Last updated
06/15/2017
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