MRS. LUCY ANNE TILLETT


Address: 2724 Ne Dunckley St, Portland, OR 97212-1644
Phone: 5038691627

MRS. LUCY ANNE TILLETT (NPI# 1639255722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639255722
Entity Type Individual
Full Name MRS. LUCY ANNE TILLETT
Credential RN, CNS
Practice Address 2724 Ne Dunckley St
Portland
OR 97212-1644
Practice Telephone 5038691627
Practice Fax Number 5034885852
Mailing Telephone 5038691627
Mailing Fax Number 5034885852
Enumeration Date 2006-10-31
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
OR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2724 NE DUNCKLEY ST
City PORTLAND
State OR
Zip Code 97212-1644

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1285085100 Jessica Battin Massage Therapist 2310 Ne 8th Ave #2, Portland, OR 97212 2016-06-22
1316311830 Dr Elise Schroeder Clinic/Center 3531 Ne 15th Ave Suite A, Portland, OR 97212 2015-11-20
1467820738 Ayanna Askari Counselor 3655 N E Grand Ave, Portland, OR 97212 2015-09-03
1053797167 Iliana Henriquez Social Worker 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 2015-07-31
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Find all providers in zip 97212

Taxonomy Information

Taxonomy Code 364SA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598196610 Heather Brazelton Clinical Nurse Specialist 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 2013-11-30
1467882472 Molly Archer Clinical Nurse Specialist 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 2013-11-13

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477985737 Sandra Dee Bunn Clinical Nurse Specialist 890 Oak St Se Bldg B, Salem, OR 97301-3905 2013-08-08
1164517629 Claudia Fischer Clinical Nurse Specialist 2027 Jefferson St., Eugene, OR 97405 2006-10-03
1043648579 Mary Josephine Bedell Clinical Nurse Specialist 890 Oak St Se Bldg B, Salem, OR 97301-3905 2013-10-18
1710122387 Kellee Steele Murga Clinical Nurse Specialist 3201 Campus Dr, Klamath Falls, OR 97601-8801 2008-12-10
1063497253 Ann Marie Becker Clinical Nurse Specialist 1108 June St, Hood River, OR 97031-1513 2005-12-09

Competitor

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City PORTLAND
Zip Code 97212

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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