NPI 1043559529 MISS FLORTASHA LARAY PULLOM RN GRESHAM OR. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Miss Flortasha Laray Pullom - NPI: 1043559529

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MISS FLORTASHA LARAY PULLOM
NPI Number: 1043559529
Entity Type Code: Individual (1)
Gender: F
Credentials: RN
License Number:
Business Practice Address: 4101 Ne Division St
Suite 100 Gresham, OR - 970304617
Business Phone Number: 5036663808
Business Fax Number: 5036666835
Mailing Address: 4101 Ne Division St, Suite 100
GRESHAM
State: OR
Postal Code: 970304617
Phone Number: 5036663808
Fax Number: 5036666835
NPI Enumeration Date: 02/04/2013
NPI Last Update Date: 02/04/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YM0800X
License Number:
Healthcare Provider Taxonomy:
(Secondary)
N
State:
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Mental Health
Taxonomy Definition:


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