Individual
BIANCA DEGIORGIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 588-5625
Mailing address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 588-5625
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201602274
OR
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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