Individual
JANELLE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
73265 CONFEDERATED WAY, PENDLETON, OR 97801-0160
(541) 966-9830
(541) 278-7572
Mailing address
79980 S FORK WALLA WALLA RIVER RD, MILTON FREEWATER, OR 97862-7041
(541) 938-6461
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
O93000192RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171037
—
OR
Enumeration date
08/19/2011
Last updated
08/19/2011
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