Individual
ESTON SUMNER WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN RN
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
Mailing address
137 1/2 WILLAMETTE AVE, MEDFORD, OR 97504-7486
(541) 297-6518
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
201141710RN
OR
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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