Individual
SIERRA GWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 S MOUNTAIN AVE, ASHLAND, OR 97520-2165
(541) 535-6239
Mailing address
931 CHEVY WAY, MEDFORD, OR 97504-4127
(541) 535-6239
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201704555RN
OR
Other
Enumeration date
08/22/2017
Last updated
01/06/2023
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