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Individual

DARLENA ROSE PIKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1201 NE 7TH ST STE E, GRANTS PASS, OR 97526-1451
(541) 314-4894
(541) 862-2806
Mailing address
1201 NE 7TH ST STE E, GRANTS PASS, OR 97526-1451
(541) 314-4894
(541) 314-4895

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201150132NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500642365
OR
Enumeration date
09/27/2011
Last updated
03/04/2021
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