Individual
WENDY ZAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
12655 SW CENTER ST, BEAVERTON, OR 97005
(503) 457-5012
(503) 430-8125
Mailing address
12655 SW CENTER ST, BEAVERTON, OR 97005-1600
(503) 457-5012
(503) 430-8125
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
092000169RN
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201608741NP-PP
OR
Other
Enumeration date
09/14/2009
Last updated
11/01/2019
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