Individual
MS. NANCY J LEDBETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNS
Contact information
Practice address
875 OAK ST SE, SALEM, OR 97301-3975
(503) 814-0457
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2000040409RN
OR
163W00000X
Registered Nurse
200270002CNS
OR
163WX0200X
Oncology Registered Nurse
200040409RN
OR
364S00000X
Clinical Nurse Specialist
Primary
200270002CNS
OR
364SX0200X
Oncology Clinical Nurse Specialist
200270002CNS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500621736
—
OR
Enumeration date
04/27/2006
Last updated
02/26/2019
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