Whalio Doctors

NPI 1003239120

Iva Juric

Practitioner Pediatric Nurse Practitioner Portland, OR

Practice location

Address
3181 SW Sam Jackson Park Rd # Cdw6, Portland, OR 97239-3011
Phone
(503) 494-4808

Registered specialties

Pediatric Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0200X Licence 201608793NP-PP (OR)

Registry record

NPI
1003239120
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Jan 2014
Record last updated
6 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.