IndividualActive
Marcia Woodburn, AGACNP
NPI 1417343229 · Gerontology Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1417343229
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP
- Sex
- Female
- Sole proprietor
- No
- License
- AP61064540 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
9135 Sw Barnes Rd Ste 461
Portland, OR 97225-6643
Phone: (503) 216-1150
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 3158
Portland, OR 97208-3158
Additional practice locations (1)
- 325 9th AveSeattle, WA 98104-2420Phone: (206) 520-5000
Registry dates
- Enumerated
- 2015-04-08
- Last updated
- 2023-04-26
- Certified
- 2023-04-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.