Individual
NINA VALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23380 NE VILLAGE CT, WOOD VILLAGE, OR 97060-2858
(503) 462-6592
Mailing address
23380 NE VILLAGE CT, WOOD VILLAGE, OR 97060-2858
(503) 462-6592
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
500652471
OR
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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