Individual
MIRIAM D WHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
910 N ALBANY RD NW, ALBANY, OR 97321-1324
(503) 719-3875
Mailing address
910 N ALBANY RD NW, ALBANY, OR 97321-1324
(503) 719-3875
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
201905110RN
OR
Other
Enumeration date
02/06/2021
Last updated
02/06/2021
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