Individual
REAGAN ELAINE HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
432 W 11TH AVE, EUGENE, OR 97401-3451
(541) 682-4464
(541) 682-3967
Mailing address
432 W 11TH AVE, EUGENE, OR 97401-3451
(541) 682-4464
(541) 682-3967
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201909214LPN
OR
Other
Enumeration date
06/12/2024
Last updated
06/13/2024
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