Individual
ESTELLA MARIE DE ANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3180 CENTER ST NE, SALEM, OR 97301-4592
(503) 588-5342
Mailing address
PO BOX 865, PORTLAND, OR 97207-0865
(971) 244-2972
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
079037963RN
OR
Other
Enumeration date
09/05/2012
Last updated
09/05/2012
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