Individual
MS. NORI ALEA TREVARTHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1321 NE 99TH AVE, STE 100, PORTLAND, OR 97220-9436
(503) 215-9900
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20035010NP-FNP-PP
OR
363LF0000X
Family Nurse Practitioner
Primary
200350104NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297447
—
OR
Enumeration date
05/28/2006
Last updated
06/01/2012
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