Elizabeth Paula Banks, FNP
Nurse Practitioner, Family in Portland, OR. Individual provider (NPI-1).
NPI number1629094792
StatusActive
Last updated in NPPESDec 4, 2013
Details
- NPI
- 1629094792
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Paula Banks
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 14, 2006
- Last updated
- Dec 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 099007413N1 | OR | Yes |
Practice location
3727 Ne Martin Luther King Jr BlvdPortland, OR 97212-1112
Phone 503-775-4931 · Fax 503-788-7285
Mailing address
3727 Ne Martin Luther King Jr BlvdPortland, OR 97212-1112
Phone 503-775-4931 · Fax 503-788-7285
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