Individual
DOROTHY MAE OLIVEIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1025 E MAIN ST, MEDFORD, OR 97504-7448
(541) 779-1282
(541) 608-2888
Mailing address
1003 E MAIN ST STE 104, MEDFORD, OR 97504-7140
(541) 326-4905
(540) 608-2888
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200340405
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200340405RN
RN LICENSE
OR
Enumeration date
01/28/2013
Last updated
02/17/2023
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