Individual
MICHELLE S BEAUMONT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
Mailing address
913 NW GARDEN VALLEY BLVD, ROSEBURG, OR 97471-6523
(541) 440-1000
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201230578LPN
OR
Other
Enumeration date
05/20/2022
Last updated
05/20/2022
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