Individual
RAYLENE EISELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
506 4TH ST, LA GRANDE, OR 97850
(541) 663-3138
(541) 975-5120
Mailing address
PO BOX 3290, LA GRANDE, OR 97850-7290
(541) 963-1967
(541) 963-1837
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2014043708
MO
363LF0000X
Family Nurse Practitioner
Primary
201706907NP-PP
OR
Other
Enumeration date
01/05/2015
Last updated
09/13/2018
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