Individual
DONALD ALBERT IVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
21408 S HIGHWAY 211, COLTON, OR 97017-9435
(503) 754-3815
(334) 529-9609
Mailing address
21408 S HIGHWAY 211, COLTON, OR 97017-9435
(503) 754-3815
(334) 529-9609
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200250031NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
097000774
OSBN
OR
Enumeration date
10/04/2006
Last updated
12/22/2022
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