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Ivy Seaburg, NP
Family Nurse Practitioner in Estacada, Oregon
NPI 1235802117

Ivy Seaburg is a Family Nurse Practitioner based in Gresham, OR and is specialized in Family. Ivy Seaburg practices in Estacada, OR and has the professional credentials of NP. The NPI Number for Ivy Seaburg is 1235802117 and holds a License No. 202107614NP-PP (Oregon).

The current practice location address for Ivy Seaburg is 535 Ne 6Th Ave, Estacada, OR and can be reached out via phone at 503-630-8550.

Location: 535 Ne 6Th Ave, Estacada, OR, 97030-0132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235802117
Provider Name
Ivy Seaburg
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
535 Ne 6Th Ave, Estacada, OR, 97030-0132
Phone Number
503-630-8550
Fax Number
Provider Enumeration Date
07/27/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500796235 05 OR
institution
Provider Business Practice Location Address Details
Address
535 Ne 6Th Ave
City
Estacada
State
Oregon
Zip
97023-9312
Phone Number
503-630-8550
Fax Number
person
Provider Business Mailing Address Details
Address
535 Ne 6Th Ave
City
Estacada
State
Oregon
Zip
97023-9312
Phone Number
503-630-8550
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
202107614NP-PP (Oregon)
Definition
Definition to come...
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