NPI Profile for LIZZIE COLON in PORTLAND, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
363LP2300X | 50 | Nurse Practitioner | |
Gerontology |
363LG0600X | 50 | Nurse Practitioner | |
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1992115851 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/30/2014 | |
| Last updated | 06/06/2018 - About 8 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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LIZZIE COLON
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