Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | 1199 | HI |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 201601217NP-PP | OR |
NPI | 1003142712 |
---|---|
Provider Name | Frances Romero Hussian |
First Address | Corvallis, OR 97330-5223 |
Second Address | Corvallis, OR 97330-5223 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/10/2009 |
Last Update Date | 03/03/2016 |