Individual
RAVEN WEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3031 NE STEPHENS ST, ROSEBURG, OR 97470-6237
(541) 229-4842
Mailing address
3031 NE STEPHENS ST, ROSEBURG, OR 97470-6237
(208) 559-1099
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10006349
OR
363LF0000X
Family Nurse Practitioner
55741
ID
Other
Enumeration date
03/15/2023
Last updated
05/27/2023
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