Individual
MRS. SUSAN LORRAINE VIEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
100 NW SINCLAIR DR, GRANTS PASS, OR 97526-3363
(541) 218-0056
Mailing address
100 NW SINCLAIR DR, GRANTS PASS, OR 97526-3363
(541) 218-0056
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
097006524RN
OR
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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