Individual
NERISSA GALVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10763 SW GREENBURG RD, STE 100, TIGARD, OR 97223-5492
(503) 684-8159
Mailing address
10763 SW GREENBURG RD, STE 100, TIGARD, OR 97223-5492
(503) 684-8159
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
201240694RN
OR
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
201240694RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028382
—
OR
Enumeration date
03/31/2016
Last updated
06/05/2019
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