Lyle Urick, RN
Registered Nurse in Portland, OR. Individual provider (NPI-1).
NPI number1649582016
StatusActive
Last updated in NPPESJul 13, 2010
Details
- NPI
- 1649582016
- Entity type
- Individual (NPI-1)
- Name
- Mr. Lyle Urick
- Credential
- RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2010
- Last updated
- Jul 13, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 200741157RN | OR | Yes |
Practice location
727 W Burnside StPortland, OR 97209-3514
Phone 503-228-4533 · Fax 503-228-4618
Mailing address
232 Nw 6th AvePortland, OR 97209-3609
Phone 503-294-1681 · Fax 503-241-7419
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