Individual
CELESTA GRAVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
6564 SE LAKE RD, MILWAUKIE, OR 97222-2237
(503) 747-2021
Mailing address
2474 NE DUTCH VIS, CANBY, OR 97013-2501
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201607461RN
OR
Other
Enumeration date
01/14/2022
Last updated
01/17/2022
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