IndividualActive
Carrie Mostul, NURSE PRACTITIONER
NPI 1407958952 · Adult Health Nurse Practitioner · Clackamas, OR
Provider details
- NPI number
- 1407958952
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- No
- License
- OR 083042134N3 (OR)
Practice location
10180 Se Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (503) 571-2727
Mailing address
10180 Se Sunnyside Rd
Clackamas, OR 97015-8970
Registry dates
- Enumerated
- 2006-09-05
- Last updated
- 2008-08-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.