Provider Demographics
NPI:1942901673
Name:ARREDONDO, JULIETA (FNP)
Entity type:Individual
Prefix:
First Name:JULIETA
Middle Name:
Last Name:ARREDONDO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CENTERPOINTE DR STE A
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-8668
Mailing Address - Country:US
Mailing Address - Phone:971-348-6566
Mailing Address - Fax:833-917-0357
Practice Address - Street 1:1107 7TH ST STE 105
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-2407
Practice Address - Country:US
Practice Address - Phone:971-348-6566
Practice Address - Fax:833-917-0357
Is Sole Proprietor?:No
Enumeration Date:2023-03-10
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10005170363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily