Individual
MS. LINDA 'LYNN' MICHELLE HOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7650 BIRCH STREET, GRAND RONDE, OR 97347-0024
(503) 376-9222
Mailing address
PO BOX 24, GRAND RONDE, OR 97347-0024
(508) 376-9222
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
084057536LPN
OR
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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