NERISSA GALVEZ RN NPI 1972966646

NPI Information

NPI: 1972966646
Provider Name: NERISSA GALVEZ, RN
Classification: Registered Nurse - 163WA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
10763 SW GREENBURG RD
STE 100
TIGARD, OR
ZIP 97223
Phone: (503) 684-8159
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Nerissa Galvez, RN is an addiction (substance use disorder) registered nurse in Tigard, OR. Nerissa Galvez, RN NPI is 1972966646. 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:

10763 SW GREENBURG RD
STE 100
TIGARD, OR
ZIP 97223-492
Phone: (503) 684-8159

The enumeration date for this NPI number is 3/31/2016 and was last updated on 6/5/2019.

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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	201240694RN	OREGON	No
2	163WA0400X	Registered Nurse	Addiction (Substance Use Disorder)	201240694RN	OREGON	Yes

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	028382	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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