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Individual

JOANIE ETTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 584-4860
Mailing address
895 E COLLEGE ST, MOUNT ANGEL, OR 97362-9764
(360) 241-7443

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
083029845RN
OR

Other

Enumeration date
07/15/2008
Last updated
07/15/2008
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