Individual
DARLENE GAYHEART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
745 NE 122ND AVE, PORTLAND, OR 97230-2001
(503) 252-0241
Mailing address
16476 SE KEYSTONE DR, MILWAUKIE, OR 97267-5174
(503) 729-6069
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
096000234RN
OR
Other
Enumeration date
09/08/2021
Last updated
09/08/2021
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