Individual
MS. ROSE A NOAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
320 PARK ST, GASTON, OR 97119-7885
(503) 985-7846
Mailing address
320 PARK ST, GASTON, OR 97119-7885
(503) 985-7846
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
000005773LPN
OR
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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