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Individual

GINA PEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
384 SE COMBS FLAT RD STE 1200, PRINEVILLE, OR 97754-2562
(541) 447-6263
Mailing address
20526 BARROWS CT, BEND, OR 97702-3064
(541) 971-8792

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202215287NP-PP
OR

Other

Enumeration date
10/17/2022
Last updated
04/16/2025
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