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Individual

DIANE CAROL ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, FNP

Contact information

Practice address
4285 STELLA ST, ROSEBURG, OR 97471-4771
(541) 868-6014
Mailing address
4285 STELLA ST, ROSEBURG, OR 97471-4771
(541) 868-6014

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
090003344
OR
163WW0000X
Wound Care Registered Nurse
090003344
OR
363LF0000X
Family Nurse Practitioner
201809760NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
163WC1500X
OR
Enumeration date
03/24/2014
Last updated
05/07/2019
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