Alma San Juan, AGACNP
Alma San Juan, AGACNP is a Nurse Practitioner in Gresham, Oregon. Qualified in 2018, 8 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in Oregon.
- Years since qualifying
- 8
- Licensed in
- OR
- In the registry since
- 2021
Practice location Address checks out
25050 SE Stark St Ste 265Gresham, OR 97030-3388
Phone: (503) 674-1520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Acute Care Nurse Practitioner (primary) | Taxonomy 363LA2100X · Licence 202008006 (OR) |
|---|
Record details
| NPI number | 1063094621 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGACNP |
| Sole proprietor | No |
| NPI enumerated | April 23, 2021 |
| Last updated in NPPES | April 23, 2021 |
| Certification date | April 23, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Legacy Clinics Llc — 718 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Gresham
-
Lisa Pusateri, AG-ACNP
24988 SE Stark St Ste 140, Gresham, OR 97030-8326 · (971) 262-9500
-
Elana Underwood Scharff, AGACNP-BC
25050 SE Stark St Ste 265, Gresham, OR 97030 · (503) 674-1520