Organization
TONI DAMEWOOD MSN PMHNP-BC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI DAMEWOOD PMHNP-BC (NURSE PRACTITIONER)
(541) 643-1638
Entity
Organization
Contact information
Practice address
770 SE KANE STREET, ROSEBURG, OR 97470
(541) 643-1638
Mailing address
PO BOX 458, GLIDE, OR 97443
(541) 643-1638
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201150169NP
OR
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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