Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 079043718 | OR |
NPI | 1215173612 |
---|---|
Provider Name | Patricia Scheans |
First Address | Portland, OR 97211-8253 |
Second Address | Portland, OR 97227-1623 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2009 |
Last Update Date | 24/08/2011 |