Most Relevant Information
Provider Data
| NPI Number: | 1003059882 |
| Provider Name: | NANIS GILMORE RN, CDE |
| Entity Type: | Individual |
| Taxonomy Code: | 163WD0400X |
| Specialty: | Registered Nurse |
| License Number: | 081001531RN |
Most Important Dates
| Enumeration Date: | 04/09/2009 |
| Last Updated: | 04/09/2009 |
Provider Practice Location
541 NE 20TH AVE
SUITE 210
PORTLAND
OR
972322862
Practice Location Phone/Fax
| Phone: | 5032336940 |
| Fax: | 5032362676 |
Provider Mailing Location
541 NE 20TH AVE
SUITE 210
PORTLAND
OR
972322862
Provider Mailing Phone/Fax
| Phone: | 5032336940 |
| Fax: | 5032362676 |