Clara Spivey
Registered Nurse in Portland, OR. Individual provider (NPI-1).
NPI number1902500366
StatusActive
Last updated in NPPESMar 29, 2023
Details
- NPI
- 1902500366
- Entity type
- Individual (NPI-1)
- Name
- Clara Spivey
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 29, 2023
- Certification date
- Mar 29, 2023
- Last updated
- Mar 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 202109216RN | OR | Yes |
Practice location
12121 E Burnside StPortland, OR 97216-3737
Phone 971-361-7700
Mailing address
232 Nw 6th AvePortland, OR 97209-3609
Phone 503-294-1681
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