Mendoza, Marilyn Luzod

Mendoza, Marilyn Luzod is an individual health care provider with primary practice located at 10201 Se Main St Suite 29, Portland OR 97216-2937. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mendoza, Marilyn Luzod can be contacted via phone (503) 251-6363.

Contact Information

Primary practice address
10201 Se Main St Suite 29 Portland OR 97216-2937
Phone: (503) 251-6363
Fax: (503) 251-6239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X Oregon

Profile Details

NPI number 1326009622
LBN Legal business name Mendoza, Marilyn Luzod
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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