Individual
AURA PETCU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE UHS 8W, PORTLAND, OR 97239-3011
(503) 494-4373
(503) 418-4189
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE UHS 8W, PORTLAND, OR 97239-3011
(503) 494-4373
(503) 418-4189
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
201407291
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
201407291NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
95001259
CA
364SA2100X
Acute Care Clinical Nurse Specialist
201407292
OR
364SA2100X
Acute Care Clinical Nurse Specialist
4190
CA
Other
Enumeration date
10/23/2014
Last updated
02/28/2018
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