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Individual

KAREN A RESNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, RN, WHCNP

Contact information

Practice address
221 W STEWART AVE STE 101, MEDFORD, OR 97501-3609
(541) 535-6239
(541) 512-1026
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 690-3555

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
091007161RN
OR
363LW0102X
Women's Health Nurse Practitioner
200050012NP
OR
367A00000X
Advanced Practice Midwife
Primary
091007161N5
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
227698
OR
Enumeration date
02/01/2007
Last updated
09/29/2020
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