Individual
BREANNA TINKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
375 NW BEAVER ST STE 100, PRINEVILLE, OR 97754-1802
(541) 447-5165
Mailing address
1414 NW DAVENPORT AVE, BEND, OR 97701-3079
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201405932RN
OR
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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