Individual
MARIAM HAMEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51600 HUNTINGTON RD, LA PINE, OR 97739-8887
(541) 536-3435
Mailing address
51600 HUNTINGTON RD, LA PINE, OR 97739-8887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10007705
OR
163W00000X
Registered Nurse
257309
TN
363LF0000X
Family Nurse Practitioner
Primary
10007705
OR
363LF0000X
Family Nurse Practitioner
32691
TN
Other
Enumeration date
01/14/2022
Last updated
10/20/2023
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