Individual
DANIELLE GAMBILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
219 SW 5TH ST, PILOT ROCK, OR 97868-6688
(541) 215-7932
Mailing address
219 SW 5TH ST, PILOT ROCK, OR 97868-6688
(541) 215-7932
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201705861RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
781972
—
OR
Enumeration date
08/02/2017
Last updated
03/17/2018
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