Individual
BONNIE T O'HERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3180 CENTER ST NE, SALEM, OR 97301-4532
(503) 361-2693
Mailing address
2137 NOMAD CT SE, SALEM, OR 97306-2601
(805) 228-2661
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
20094051RN
OR
Other
Enumeration date
08/17/2015
Last updated
08/17/2015
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