Most Relevant Information
Provider Data
| NPI Number: | 1003654898 |
| Provider Name: | TERRA NICOLE WOREL RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 202004462RN |
Most Important Dates
| Enumeration Date: | 07/17/2024 |
| Last Updated: | 07/17/2024 |
Provider Practice Location
324 NW DAVIS ST
PORTLAND
OR
972093925
Practice Location Phone/Fax
| Phone: | 3604316149 |
| Fax: |
Provider Mailing Location
3362 PACIFIC AVE N
KELSO
WA
986269775
Provider Mailing Phone/Fax
| Phone: | 3604316149 |
| Fax: |