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NPI Code Detail

MEDICARE: MRS. ELIZABETH RAMONA NOWAK R.N.

MEDICARE:  MRS. ELIZABETH RAMONA NOWAK  R.N.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse200942683RNOR
2163W00000XRegistered NurseRN049941AZ

General Provider Information

NPI Number : 1194097121
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH RAMONA NOWAK R.N.
Provider Business Mailing Address
First Line : 3601 SW RIVER PKWY
Second Line : STE 1700
City : PORTLAND
State : OR
Zip : 97239-4553
Country : US
Telephone Number : 503-894-9524
Fax Number :
Provider Business Practice Location Address
First Line : 3601 SW RIVER PKWY
Second Line : STE 1700
City : PORTLAND
State : OR
Zip : 97239-4553
Country : US
Telephone Number : 503-894-9524
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2012
Last Update Date : 02/07/2012

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Directions to “ MRS. ELIZABETH RAMONA NOWAK R.N.” Practice Location

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