Individual
JAMIE LOUISE GORRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
5330 NE GLISAN ST, PORTLAND, OR 97213-3069
(503) 215-9700
Mailing address
4135 SE SCHILLER ST, PORTLAND, OR 97202-4067
(503) 799-9986
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201501932NP-PP
OR
Other
Enumeration date
04/07/2015
Last updated
03/10/2021
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