Individual
TRESA HACKFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
151 W 7TH AVE, EUGENE, OR 97401-1100
(541) 682-8783
Mailing address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-3550
(541) 682-3551
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
8533055-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201504752RN
—
OR
Enumeration date
06/11/2015
Last updated
07/29/2015
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