Individual
JOAN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 VIRGINIA AVE STE 100, NORTH BEND, OR 97459-3477
(541) 672-2691
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201608599RN
OR
Other
Enumeration date
07/03/2018
Last updated
07/03/2018
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