NPI 1336839786 · live from the CMS NPI Registry
Mikaela C Gates, RNFA
Registered Nurse, Registered Nurse First Assistant in Portland, OR. National Provider Identifier 1336839786, active.
NPI record
| NPI | 1336839786 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 11786 Sw Barnes Rd Ste 110, Portland, OR 97225 |
| Practice phone | 503-924-2323 |
| Enumerated | May 9, 2023 |
| Last updated | May 9, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | 201806815RN (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.