Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 095000173N2 | OR |
NPI | 1043342884 |
---|---|
Provider Name | Mrs. Noelle Hashimoto Nurre |
First Address | West Linn, OR 97068-3040 |
Second Address | Portland, OR 97239-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2007 |
Last Update Date | 14/01/2016 |