Individual
NEVEEN ISMAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
19747 SW LONGACRE CT, BEAVERTON, OR 97006
(503) 709-3399
Mailing address
19747 SW LONGACRE CT, BEAVERTON, OR 97006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10012851
OR
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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