Individual
MRS. PATRICIA J. HADDELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MN CPNP
Contact information
Practice address
2435 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8862
(503) 472-6161
(503) 434-8498
Mailing address
2435 NE CUMULUS AVE STE A, MCMINNVILLE, OR 97128-8862
(503) 472-6161
(503) 434-8498
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
084054753N2
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035035
—
OR
Enumeration date
10/11/2006
Last updated
02/13/2013
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