IndividualActive
Angela Massoni-Blaine
NPI 1043649908 · Adult Health Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1043649908
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 23638 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2222 Nw Lovejoy St
Portland, OR 97210-3033
Phone: (503) 413-8036
Approximate (ZIP-level) locationGet directions
Mailing address
2222 Nw Lovejoy St
Portland, OR 97210-3033
Additional practice locations (1)
- 1220 12th St SeSte 120Washington, DC 20003-3722Phone: (202) 715-7900
Registry dates
- Enumerated
- 2013-11-01
- Last updated
- 2020-08-26
- Certified
- 2020-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.