Individual
MRS. EVELYN MARIE WALDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
825 NE 22ND ST, GRESHAM, OR 97030-4023
(503) 669-9710
(503) 666-0123
Mailing address
825 NE 22ND ST, GRESHAM, OR 97030-4023
(503) 669-9710
(503) 666-0123
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
00025865
OR
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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