Individual
MRS. LISA LOUISE NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADULT NP
Contact information
Practice address
3203 SE WOODSTOCK BLVD, REED COLLEGE STUDENT HEALTH & COUNSELING CENTER, PORTLAND, OR 97202-8138
(503) 777-7281
Mailing address
3203 SE WOODSTOCK BLVD, REED COLLEGE STUDENT HEALTH & COUNSELING CENTER, PORTLAND, OR 97219-8199
(503) 777-7281
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
091006214N3
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091006214N3
OR STATE BOARD NURSING
OR
Enumeration date
11/11/2008
Last updated
11/11/2008
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