Individual
ANGELICA MORALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 NE 8TH ST, GRESHAM, OR 97030-7317
(503) 988-5558
Mailing address
1308 E COLORADO BLVD UNIT 3104, PASADENA, CA 91106-1932
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10005340
OR
363LF0000X
Family Nurse Practitioner
95025610
CA
Other
Enumeration date
08/07/2023
Last updated
09/02/2023
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