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Miranda Shea Boeh, NP
Family Nurse Practitioner in Portland, Oregon
NPI 1649574443

Miranda Shea Boeh is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Miranda Shea Boeh practices in Portland, OR and has the professional credentials of NP. The NPI Number for Miranda Shea Boeh is 1649574443 and holds a License No. 20366 (Oregon).

The current practice location address for Miranda Shea Boeh is 17979 Ne Glisan St, Portland, OR and can be reached out via phone at 503-962-1791.

Location: 17979 Ne Glisan St, Portland, OR, 97208-3158
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Provider Profile Details
NPI Number
1649574443
Provider Name
Miranda Shea Boeh
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
17979 Ne Glisan St, Portland, OR, 97208-3158
Phone Number
503-962-1791
Fax Number
Provider Enumeration Date
01/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500707893 05 OR
institution
Provider Business Practice Location Address Details
Address
17979 Ne Glisan St
City
State
Zip
97230-6507
Phone Number
503-962-1791
Fax Number
person
Provider Business Mailing Address Details
Address
17979 Ne Glisan St
City
State
Zip
97230-6507
Phone Number
503-962-1791
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
20366 (California)
Definition
Definition to come...
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