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Individual

DEANNA LEA WAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
22062 S FERGUSON RD, BEAVERCREEK, OR 97004-7625
(503) 632-5692
Mailing address
PO BOX 502, BEAVERCREEK, OR 97004-0502
(503) 632-5692

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
090007472RN
OR
163W00000X
Registered Nurse
RN00162526
WA

Other

Enumeration date
05/21/2016
Last updated
05/21/2016
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