person
Mrs. Priscilla Desvergunat, NP
Pediatric Nurse Practitioner in Portland, Oregon
NPI 1578234597

Priscilla Desvergunat is a Pediatric Nurse Practitioner based in Portland, OR and is specialized in Pediatrics. Priscilla Desvergunat practices in Portland, OR and has the professional credentials of NP. The NPI Number for Priscilla Desvergunat is 1578234597 and holds a License No. 202109745NP (Oregon).

The current practice location address for Priscilla Desvergunat is 2801 N Gantenbein Ave, Portland, OR and can be reached out via phone at 503-276-9300 and via fax at 503-276-9351.

Location: 2801 N Gantenbein Ave, Portland, OR, 97227-1623
person
Provider Profile Details
NPI Number
1578234597
Provider Name
Priscilla Desvergunat
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2801 N Gantenbein Ave, Portland, OR, 97227-1623
Phone Number
503-276-9300
Fax Number
503-276-9351
Provider Enumeration Date
09/21/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2801 N Gantenbein Ave
City
State
Zip
97227-1623
Phone Number
503-276-9300
Fax Number
503-276-9351
person
Provider Business Mailing Address Details
Address
2801 N Gantenbein Ave
City
State
Zip
97227-1623
Phone Number
503-276-9300
Fax Number
503-276-9351
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
202109745NP (Oregon)
Definition
Definition to come...
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