Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | MD13238 | OR |
NPI | 1326199738 |
---|---|
Provider Name | Dr. Frances Ventura Verzosa |
First Address | Camas, WA 98607-9047 |
Second Address | Portland, OR 97220-4077 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/01/2007 |
Last Update Date | 08/07/2007 |