Individual
BRITTNEY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
548 SE JACKSON ST, ROSEBURG, OR 97470-4983
(541) 440-3532
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 440-3532
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201391005
OR
163W00000X
Registered Nurse
Primary
201391005RN
OR
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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