Individual
ANGELA GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
790 FAIRVIEW LOOP, COTTAGE GROVE, OR 97424-1968
(541) 505-4913
Mailing address
790 FAIRVIEW LOOP, COTTAGE GROVE, OR 97424-1968
(541) 505-4913
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202203083NP-PP
OR
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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