Individual
AMY FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 K AVE, LA GRANDE, OR 97850-2131
(541) 962-8825
(541) 963-5272
Mailing address
1100 K AVE, LA GRANDE, OR 97850-2131
(541) 962-8825
(541) 963-5272
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
OR
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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