Individual
MRS. JANIS GARDINIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15657 SW BULRUSH LN, TIGARD, OR 97223-2611
(503) 579-9208
(503) 579-9208
Mailing address
15657 SW BULRUSH LN, TIGARD, OR 97223-2611
(503) 579-9208
(503) 579-9208
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099098
—
OR
Enumeration date
10/26/2006
Last updated
07/08/2007
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