Individual
MS. JUDITH KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
214 NE OUTLOOK AVE, GRANTS PASS, OR 97526-1412
(541) 474-5665
(547) 474-4435
Mailing address
214 NE OUTLOOK AVE, GRANTS PASS, OR 97526-1412
(541) 474-5665
(541) 474-4435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
000037306N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074450
—
OR
Enumeration date
07/18/2005
Last updated
01/02/2020
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