Provider Demographics
NPI:1992831192
Name:INIGUEZ, SOLEDAD GREFNES (WHCNP)
Entity Type:Individual
Prefix:MRS
First Name:SOLEDAD
Middle Name:GREFNES
Last Name:INIGUEZ
Suffix:
Gender:F
Credentials:WHCNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11923 SE TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97216-3835
Mailing Address - Country:US
Mailing Address - Phone:503-408-5813
Mailing Address - Fax:
Practice Address - Street 1:3181 SW SAM JACKSON PARK RD # UHS29
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-3011
Practice Address - Country:US
Practice Address - Phone:503-494-2768
Practice Address - Fax:503-494-0786
Is Sole Proprietor?:No
Enumeration Date:2007-02-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR085074461N7 WHCNP-PP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health