Individual
ANGELA K REPLOEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
990 NW CIRCLE BLVD STE 102, CORVALLIS, OR 97330-1967
(541) 768-5486
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200550129NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213720
—
OR
Enumeration date
05/11/2006
Last updated
11/11/2020
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