- Practice location
- 4805 NE Glisan St Ste 11N, Portland, OR 97213-2933
- Phone
- 503-215-1350
- Fax
- —
- Last updated
- February 4, 2022
Rhezarie Mae A Agtarap is a Nurse Practitioner, Gerontology based in Portland, OR. Rhezarie Mae A Agtarap practices in Portland, OR and has the professional credentials of NP-C. The NPI Number for Rhezarie Mae A Agtarap is 1023576659 and holds a License No. 201400803RN (OR). The current practice location address for Rhezarie Mae A Agtarap is 4805 NE Glisan St Ste 11N, Portland, OR 97213-2933 and can be reached out via phone at 503-215-1350.
Provider Profile Details
- NPI Number
- 1023576659
- Provider Name
- Rhezarie Mae A Agtarap
- Credential
- NP-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 4805 NE Glisan St Ste 11N, Portland, OR 97213-2933
- Phone Number
- 503-215-1350
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 1, 2019
- Last Update Date
- February 4, 2022
- Certification Date
- February 4, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4805 NE Glisan St Ste 11N
Portland, OR 97213-2933 - City
- Portland
- State
- Oregon
- Zip
- 97213-2933
- Phone Number
- 503-215-1350
Provider Business Mailing Address Details
- Address
- Po Box 3158
Portland, OR 97208-3158 - City
- Portland
- State
- OR
- Zip
- 97208-3158
License Information
- License Number (1)
- 201400803RN
- License State (1)
- OR
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 201902328NP-PP
- License State (2)
- OR
- Taxonomy (2)
- Nurse Practitioner · 363L00000X
- License Number (3)
- 201902328NP-PP
- License State (3)
- OR
- Taxonomy (3)
- Nurse Practitioner, Primary Care · 363LP2300X
- License Number (4)
- 201902328NP-PP
- License State (4)
- OR
- Taxonomy (4)
- Nurse Practitioner, Gerontology · 363LG0600X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Rhezarie Mae A Agtarap, NP-C?
The NPI number of Rhezarie Mae A Agtarap, NP-C is 1023576659. It was assigned on March 1, 2019 and is currently active in the NPPES registry.
What is the specialty of Rhezarie Mae A Agtarap, NP-C?
Rhezarie Mae A Agtarap, NP-C is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in OR under license number 201400803RN.
Where does Rhezarie Mae A Agtarap, NP-C practice?
The practice location is 4805 NE Glisan St Ste 11N, Portland, OR 97213-2933. The office can be reached at 503-215-1350 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023576659 directly on the NPPES registry website.