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Individual

DR. KRISTEN SWAFFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, RN, CNS

Contact information

Practice address
23375 NE RIDGE RD, GASTON, OR 97119-8402
(503) 841-8174
Mailing address
23375 NE RIDGE RD, GASTON, OR 97119-8402
(503) 841-8174

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200241377RN
OR
163WG0600X
Gerontology Registered Nurse
Primary
200670004CNS
OR

Other

Enumeration date
08/29/2014
Last updated
08/29/2014
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