IndividualActive
Iva Juric
NPI 1003239120 · Pediatric Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1003239120
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 201608793NP-PP (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3181 Sw Sam Jackson Park Rd # Cdw6
Portland, OR 97239-3011
Phone: (503) 494-4808
Approximate (ZIP-level) locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd # Cdw6
Portland, OR 97239-3011
Registry dates
- Enumerated
- 2014-01-24
- Last updated
- 2017-11-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.