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NPI Code Detail

MEDICARE: MARTHA PATRICE GEISHEKER ANP

MEDICARE:   MARTHA PATRICE GEISHEKER  ANP
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
1363LW0102XWomen's Health Nurse Practitioner091000518N6OR
2363LA2200XAdult Health Nurse Practitioner091000518N3OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1194800961
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA PATRICE GEISHEKER ANP
Provider Business Mailing Address
First Line : PO BOX 3158
Second Line :
City : PORTLAND
State : OR
Zip : 97208-3158
Country : US
Telephone Number : 503-215-6494
Fax Number :
Provider Business Practice Location Address
First Line : 12442 SW SCHOLLS FERRY RD STE 100
Second Line :
City : TIGARD
State : OR
Zip : 97223-0803
Country : US
Telephone Number : 503-216-9200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 02/12/2021

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Directions to “ MARTHA PATRICE GEISHEKER ANP” Practice Location

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