Individual
MRS. SANDRA MARIE FLANAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
92023 PURKERSON RD, JUNCTION CITY, OR 97448-9426
(503) 294-1006
(503) 294-1006
Mailing address
PO BOX 19765, PORTLAND, OR 97280-0765
(503) 294-1006
(503) 294-1006
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
079033083RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EIN260813697
—
OR
Enumeration date
01/21/2009
Last updated
01/21/2009
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