Individual
JORGE I DELUNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN.
Contact information
Practice address
944 68TH ST, SPRINGFIELD, OR 97478-2108
(541) 915-6391
Mailing address
944 68TH ST, SPRINGFIELD, OR 97478-2108
(541) 915-6391
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
098007236
OR
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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