Individual
GINA MARIE VERLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNBSN
Contact information
Practice address
472 7TH AVE, HAMMOND, OR 97121-9716
(503) 791-9609
Mailing address
472 7TH AVE, HAMMOND, OR 97121-9716
(503) 791-9609
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
081001855RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RA901C3O
—
OR
Enumeration date
01/20/2017
Last updated
01/20/2017
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