Provider Demographics
NPI:1518145432
Name:MURRAY, PRISCILLA JANE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:PRISCILLA
Middle Name:JANE
Last Name:MURRAY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
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Mailing Address - Street 1:26400 NW SAINT HELENS RD
Mailing Address - Street 2:SLIP 14
Mailing Address - City:SCAPPOOSE
Mailing Address - State:OR
Mailing Address - Zip Code:97056-9601
Mailing Address - Country:US
Mailing Address - Phone:503-418-9400
Mailing Address - Fax:503-418-9401
Practice Address - Street 1:3303 SW BOND AVE
Practice Address - Street 2:PATC
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4501
Practice Address - Country:US
Practice Address - Phone:503-418-9400
Practice Address - Fax:503-418-9401
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily