Individual
GINA DANIELLE BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 RIVER RD, EUGENE, OR 97404-5414
(541) 261-7423
Mailing address
850 W 25TH AVE, EUGENE, OR 97405-2463
(541) 261-7423
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201602782LPN
OR
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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