ELLEN L. IWASAKI FNP NPI 1487669982

NPI Information

NPI: 1487669982
Provider Name: ELLEN L. IWASAKI, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
4411 SW VERMONT ST
PORTLAND, OR
ZIP 97219
Phone: (503) 494-9992
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Ellen L. Iwasaki, FNP is a family nurse practitioner in Portland, OR. Ellen L. Iwasaki, FNP NPI is 1487669982. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4411 SW VERMONT ST
PORTLAND, OR
ZIP 97219-020
Phone: (503) 494-9992

The enumeration date for this NPI number is 7/31/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	085074555N1	OREGON	Yes
2	363LF0000X	Nurse Practitioner	Family		OREGON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	S49706	MEDICARE UPIN
2	039375	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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