Individual
MICHELLE JADE ARTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3655 W 13TH AVE APT 121, EUGENE, OR 97402-3484
(541) 554-5335
Mailing address
3655 W 13TH AVE APT 121, EUGENE, OR 97402-3484
(541) 554-5335
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202110740LPN
OR
Other
Enumeration date
11/10/2022
Last updated
11/10/2022
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