(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003239120
Provider Name: IVA JURIC
Entity Type: Individual
Taxonomy Code: 363LP0200X
Specialty: Nurse Practitioner
License Number: 201608793NP-PP
Most Important Dates
Enumeration Date: 01/24/2014
Last Updated: 11/06/2017
Provider Practice Location
3181 SW SAM JACKSON PARK RD # CDW6
PORTLAND
OR
972393011
Practice Location Phone/Fax
Phone: 5034944808
Fax:
Provider Mailing Location
3181 SW SAM JACKSON PARK RD # CDW6
PORTLAND
OR
972393011
Provider Mailing Phone/Fax
Phone: 5034944808
Fax: