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Carly Jacqueline Griffin, FNP
Family Nurse Practitioner in Portland, Oregon
NPI 1558748293

Carly Jacqueline Griffin is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Carly Jacqueline Griffin practices in Portland, OR and has the professional credentials of FNP. The NPI Number for Carly Jacqueline Griffin is 1558748293 and holds a License No. 201705874NP-PP (Oregon).

The current practice location address for Carly Jacqueline Griffin is 1111 Ne 99Th Ave Ste 200, Portland, OR and can be reached out via phone at 503-963-3030 and via fax at 503-963-3140.

Location: 1111 Ne 99Th Ave Ste 200, Portland, OR, 97232-2686
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Provider Profile Details
NPI Number
1558748293
Provider Name
Carly Jacqueline Griffin
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1111 Ne 99Th Ave Ste 200, Portland, OR, 97232-2686
Phone Number
503-963-3030
Fax Number
503-963-3140
Provider Enumeration Date
05/01/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2084641 05 WA
500730448 05 OR
institution
Provider Business Practice Location Address Details
Address
1111 Ne 99Th Ave Ste 200
City
State
Zip
97220-9442
Phone Number
503-963-3030
Fax Number
503-963-3140
person
Provider Business Mailing Address Details
Address
1111 Ne 99Th Ave Ste 200
City
State
Zip
97220-9442
Phone Number
503-963-3030
Fax Number
503-963-3140
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
201705874NP-PP (Oregon)
Definition
Definition to come...
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