Individual
MS. KATHLEEN ELLEN HUSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1605 NW 13TH ST, CORVALLIS, OR 97330-2011
(541) 758-1398
Mailing address
4052 DAVIDSON ST SE, ALBANY, OR 97322-6324
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
097003252LPN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
684339
MFC
OR
Enumeration date
11/04/2008
Last updated
11/04/2008
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