Individual
MRS. VICTORIA LEE KONRADSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN DM
Contact information
Practice address
3221 SW 45TH ST, REDMOND, OR 97756-9519
(541) 390-2999
Mailing address
PO BOX 454, HEART N HANDS MIDWIFERY, REDMOND, OR 97756-0087
(541) 390-2999
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
080011712LPN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18235
OREGON BOARD OF MASSAGE THERAPISTS
OR
Enumeration date
06/14/2007
Last updated
08/15/2012
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