Individual
DEEDRA DANETTE BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 294-1681
(503) 294-4321
Mailing address
122 MCCARVER AVE, OREGON CITY, OR 97045-3230
(541) 530-1108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201242550RN
OR
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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