Individual
CIA JANINE GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1680 CHAMBERS ST STE 103, EUGENE, OR 97402-3655
(541) 682-3550
(541) 682-3551
Mailing address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-3550
(541) 682-3551
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201508291LPN
OR
Other
Enumeration date
11/06/2015
Last updated
09/20/2018
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