Individual
MRS. ALEXIS KATHRYN VANNERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
18650 NW CORNELL RD, SUITE 220, HILLSBORO, OR 97124-9207
(503) 848-5861
(503) 848-5863
Mailing address
18650 NW CORNELL RD, SUITE 220, HILLSBORO, OR 97124-9207
(503) 848-5861
(503) 848-5863
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201503446RN
OR
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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