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Individual

MRS. JAN REATHA DRILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4838 49TH AVE NE, SALEM, OR 97305-3304
(503) 463-6584
(503) 463-6584
Mailing address
4838 49TH AVE NE, SALEM, OR 97305-3304
(503) 463-6584
(503) 463-6584

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
098345
OR
Enumeration date
01/31/2007
Last updated
07/09/2007
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