Individual
DIANNA LYNN GOOLSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3750 CHEMAWA RD NE, CHEMAWA INDIAN HEALTH CENTER, SALEM, OR 97305-1111
(503) 304-7635
Mailing address
3750 CHEMAWA RD NE, SALEM, OR 97305-1111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
OR
Other
Enumeration date
08/05/2006
Last updated
07/08/2007
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