Individual
ULRIKE MARIANNE FLECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
134 N 15TH ST, PHILOMATH, OR 97370-9128
(541) 929-5415
Mailing address
134 N 15TH ST, PHILOMATH, OR 97370-9128
(541) 929-5415
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
096000555RN
OR
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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