Individual
MS. MONICA ELIZABETH VENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
24850 SE STARK ST STE 200, GRESHAM, OR 97030-8320
(503) 491-9444
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
125.069271
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
DO199506
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500634022
—
OR
Enumeration date
10/01/2009
Last updated
05/25/2023
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