Individual
BETSY SOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 830-3512
Mailing address
5888 SPRINGCREST WAY, KLAMATH FALLS, OR 97603-7155
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
201242051RN
OR
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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