Individual
DENISE VISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 NW STEWART PKWY, ROSEBURG, OR 97471-1281
(541) 677-4333
Mailing address
2100 POWELL ST, SUITE 900, EMERYVILLE, CA 94608-1826
(510) 350-2600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201508796
OR
Other
Enumeration date
11/27/2015
Last updated
11/27/2015
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