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Ms. Nicole Gay Ingram, FNP
Family Nurse Practitioner in Tualatin, Oregon
NPI 1154392223

Nicole Gay Ingram is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Nicole Gay Ingram practices in Tualatin, OR and has the professional credentials of FNP. The NPI Number for Nicole Gay Ingram is 1154392223 and holds a License No. 200550147 (Oregon).

The current practice location address for Nicole Gay Ingram is 19250 Sw 65Th Ave, Tualatin, OR and can be reached out via phone at 503-855-1205.

Location: 19250 Sw 65Th Ave, Tualatin, OR, 97219-2289
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154392223
Provider Name
Nicole Gay Ingram
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
19250 Sw 65Th Ave, Tualatin, OR, 97219-2289
Phone Number
503-855-1205
Fax Number
Provider Enumeration Date
01/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500629260 05 OR
institution
Provider Business Practice Location Address Details
Address
19250 Sw 65Th Ave
City
Tualatin
State
Oregon
Zip
97062-7452
Phone Number
503-855-1205
Fax Number
person
Provider Business Mailing Address Details
Address
19250 Sw 65Th Ave
City
Tualatin
State
Oregon
Zip
97062-7452
Phone Number
503-855-1205
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
200550147 (Oregon)
Definition
Definition to come...
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