Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 2000278942 | OR |
Y | 363LA2100X | Nurse Practitioner - Acute Care | NP1050255 | DC |
NPI | 1033780879 |
---|---|
Provider Name | Deja Michelle Helm |
First Address | Lake Oswego, OR 97035-5382 |
Second Address | Washington, DC 20010-3017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2021 |
Last Update Date | 25/08/2021 |