Individual
KONNIE JOANNE EBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
200 SE HIGHWAY 224, ESTACADA, OR 97224
(503) 630-5511
(503) 630-5513
Mailing address
PO BOX 1200, ESTACADA, OR 97023-1200
(503) 630-5511
(503) 630-5513
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
200941730RN
OR
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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