LUCY NUSRALA, P.A.-C

Physician Assistant

Active Individual
NPI: 1821087891

Practice Address

4212 NE BROADWAY ST
Portland, OR 97213

Phone: (503) 249-8787

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes PA01448 (OR)

Frequently Asked Questions

NPI 1821087891 is the National Provider Identifier for LUCY NUSRALA, P.A.-C, a Physician Assistant provider located in Portland, OR. This NPI was enumerated on October 20, 2005.
LUCY NUSRALA, P.A.-C practices at 4212 NE BROADWAY ST, Portland, OR 97213.

Quick Facts

NPI
1821087891
Type
Individual
Enumerated
Oct 20, 2005
Last Updated
May 8, 2014

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