person
Natasha Marie Avalon Gardner
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1518542778

Natasha Marie Avalon Gardner is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Natasha Marie Avalon Gardner practices in Portland, OR. The NPI Number for Natasha Marie Avalon Gardner is 1518542778 and holds a License No. 10001791 (Oregon).

The current practice location address for Natasha Marie Avalon Gardner is 619 Nw 6Th Ave Fl 3, Portland, OR and can be reached out via phone at 503-988-5090 and via fax at 503-988-5022.

Location: 619 Nw 6Th Ave Fl 3, Portland, OR, 97209-3964
person
Provider Profile Details
NPI Number
1518542778
Provider Name
Natasha Marie Avalon Gardner
Credential
Provider Entity Type
Individual
Gender
Female
Address
619 Nw 6Th Ave Fl 3, Portland, OR, 97209-3964
Phone Number
503-988-5090
Fax Number
503-988-5022
Provider Enumeration Date
03/09/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
619 Nw 6Th Ave Fl 3
City
State
Zip
97209-3964
Phone Number
503-988-5090
Fax Number
503-988-5022
person
Provider Business Mailing Address Details
Address
619 Nw 6Th Ave Fl 3
City
State
Zip
97209-3964
Phone Number
503-988-5090
Fax Number
503-988-5022
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
10001791 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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