Healthcare Provider Details

I. General information

NPI: 1063349405
Provider Name (Legal Business Name): JULIA RASMUSSEN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 NE 2ND AVE
PORTLAND OR
97232-2003
US

IV. Provider business mailing address

1225 NE 2ND AVE
PORTLAND OR
97232-2003
US

V. Phone/Fax

Practice location:
  • Phone: 503-944-7600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0807X
TaxonomyChild & Adolescent Psychiatric/Mental Health Registered Nurse
License Number202010920RN
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: