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Individual

MR. FREDRICK RYAN WILKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
913 GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
(541) 677-3189
Mailing address
207 CAMINO NINA AVE, ROSEBURG, OR 97471-9694
(541) 440-1000
(541) 677-3189

Taxonomy

Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
079043837RN
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
079043837RN
OREGON STATE BOARD OF NURSING LICENSE, RN
OR
Enumeration date
09/03/2008
Last updated
09/03/2008
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