NPI 1508189317 · live from the CMS NPI Registry
Holly Jean Cornwell, RN
Registered Nurse, Diabetes Educator in Portland, OR. National Provider Identifier 1508189317, active.
NPI record
| NPI | 1508189317 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Diabetes Educator 163WD0400X |
| Practice location | 501 N Graham St, Suite 375, Portland, OR 97227 |
| Practice phone | 503-413-1600 |
| Enumerated | March 8, 2010 |
| Last updated | August 13, 2014 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Diabetes Educator primary | 163WD0400X | 200841070RN (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.