Individual
IRENE A GIELEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4805 NE GLISAN ST STE 6N60, PORTLAND, OR 97213-2933
(503) 281-0561
(503) 416-7377
Mailing address
847 NE 19TH AVE STE 300, PORTLAND, OR 97232-2686
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202202457NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500805038
—
OR
Enumeration date
10/14/2019
Last updated
04/28/2022
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