Most Relevant Information
Provider Data
| NPI Number: | 1003303165 |
| Provider Name: | SUMMER MORGAN MASSINA ARNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | A134262 |
Most Important Dates
| Enumeration Date: | 04/15/2018 |
| Last Updated: | 01/19/2023 |
Provider Practice Location
721 NW 9TH AVE STE 100
PORTLAND
OR
972093519
Practice Location Phone/Fax
| Phone: | 5035250090 |
| Fax: |
Provider Mailing Location
2710 SAINT FRANCIS DR
WATERLOO
IA
507025619
Provider Mailing Phone/Fax
| Phone: | 3192725000 |
| Fax: |