Individual
DORA HAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8041 N BANK RD, ROSEBURG, OR 97470-9466
(541) 957-0557
(541) 677-7355
Mailing address
8041 N BANK RD, ROSEBURG, OR 97470-9466
(541) 957-0557
(541) 677-7355
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
092006997RN
OR
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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