Rhezarie Mae A Agtarap, NP-C
Nurse Practitioner, Gerontology in Portland, Oregon
1023576659- Practice location
- 4805 NE Glisan St Ste 11N, Portland, OR 97213-2933
- Phone
- 503-215-1350
- Fax
- —
- Last updated
- February 4, 2022
Rhezarie Mae A Agtarap, NP-C is a Nurse Practitioner, Gerontology based in Portland, OR. Rhezarie Mae A Agtarap, NP-C holds the professional credentials of NP-C. The NPI number for Rhezarie Mae A Agtarap, NP-C is 1023576659 and holds license No. 201400803RN (OR). The current practice location address is 4805 NE Glisan St Ste 11N, Portland, OR 97213-2933 and the office can be reached by phone at 503-215-1350. The NPI was assigned on March 1, 2019 and the record was last updated in NPPES on February 4, 2022.
●Provider Profile Details
- NPI Number
- 1023576659
- Provider Name
- Rhezarie Mae A Agtarap
- Credential
- NP-C
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Nurse Practitioner, Gerontology · 363LG0600X
- Sole Proprietor
- No
- Enumeration Date
- March 1, 2019
- Last Update Date
- February 4, 2022
- Certification Date
- February 4, 2022
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 4805 NE Glisan St Ste 11N
Portland, OR 97213-2933 - City
- Portland
- State
- Oregon
- ZIP
- 97213-2933
- Country
- US
- Phone Number
- 503-215-1350
✉Business Mailing Address
- Address
- Po Box 3158
Portland, OR 97208-3158 - City
- Portland
- State
- OR
- ZIP
- 97208-3158
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | No | 201400803RN | OR |
| Nurse Practitioner | 363L00000X | No | 201902328NP-PP | OR |
| Nurse Practitioner, Primary Care | 363LP2300X | No | 201902328NP-PP | OR |
| Nurse Practitioner, Gerontology | 363LG0600X | Yes | 201902328NP-PP | OR |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Portland, OR
View all providers in Portland →?Frequently Asked Questions
What is the NPI number of Rhezarie Mae A Agtarap, NP-C?
The NPI number of Rhezarie Mae A Agtarap, NP-C is 1023576659. It was assigned on March 1, 2019 and is currently active in the NPPES registry.
What is the specialty of Rhezarie Mae A Agtarap, NP-C?
Rhezarie Mae A Agtarap, NP-C is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X) and holds license No. 201400803RN (OR).
Where does Rhezarie Mae A Agtarap, NP-C practice?
The practice location is 4805 NE Glisan St Ste 11N, Portland, OR 97213-2933. The office can be reached at 503-215-1350 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023576659 directly on the NPPES registry website at npiregistry.cms.hhs.gov.