Individual
NATHAN ANDREW WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1750 MCGILCHRIST ST SE STE 130, SALEM, OR 97302-1691
(971) 304-2200
Mailing address
1189 SW LEVENS ST, DALLAS, OR 97338-2266
(503) 551-1693
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201602359LPN
OR
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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