Healthcare Provider Details

I. General information

NPI: 1013183151
Provider Name (Legal Business Name): JULIA L TORRES FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2008
Last Update Date: 10/02/2020
Certification Date: 10/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9155 SW BARNES RD STE 217
PORTLAND OR
97225-6629
US

IV. Provider business mailing address

3339 N ARLINGTON PL
PORTLAND OR
97217-7203
US

V. Phone/Fax

Practice location:
  • Phone: 503-297-1548
  • Fax:
Mailing address:
  • Phone: 503-522-7496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number201050008NP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: