Individual
MRS. MARYANNE ELOISE DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRN
Contact information
Practice address
80582 UMATILLA RIVER RD, HERMISTON, OR 97838-6658
(541) 564-2536
Mailing address
PO BOX 982, UMATILLA, OR 97882-0982
(541) 564-2536
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
OR
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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