Individual
SANDRA JEAN SAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
47465 HIGHWAY 58 APT 11, OAKRIDGE, OR 97463-9725
(541) 852-0125
Mailing address
PO BOX 1041, OAKRIDGE, OR 97463-1041
(541) 852-0125
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200930596LPN
OR
164W00000X
Licensed Practical Nurse
7185
MT
164W00000X
Licensed Practical Nurse
LPN07971
NV
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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