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Alma San Juan, AGACNP
Acute Care Nurse Practitioner in Gresham, Oregon
NPI 1063094621

Alma San Juan is an Acute Care Nurse Practitioner based in Gresham, OR and is specialized in Acute Care. Alma San Juan practices in Gresham, OR and has the professional credentials of AGACNP. The NPI Number for Alma San Juan is 1063094621 and holds a License No. 202008006 (Oregon).

The current practice location address for Alma San Juan is 25050 Se Stark St Ste 265, Gresham, OR and can be reached out via phone at 503-674-1520.

Location: 25050 Se Stark St Ste 265, Gresham, OR, 97030-3388
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063094621
Provider Name
Alma San Juan
Credential
AGACNP
Provider Entity Type
Individual
Gender
Female
Address
25050 Se Stark St Ste 265, Gresham, OR, 97030-3388
Phone Number
503-674-1520
Fax Number
Provider Enumeration Date
04/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
25050 Se Stark St Ste 265
City
Gresham
State
Oregon
Zip
97030-3388
Phone Number
503-674-1520
Fax Number
person
Provider Business Mailing Address Details
Address
25050 Se Stark St Ste 265
City
Gresham
State
Oregon
Zip
97030-3388
Phone Number
503-674-1520
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
202008006 (Oregon)
Definition
Definition to come...
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