Individual
PAULA MARIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3680 NW SAMARITAN DRIVE, CORVALLIS, OR 97330-3737
(541) 754-1150
(541) 758-2693
Mailing address
90679 LEWIS ROAD, WARRENTON, OR 97146
(503) 791-9801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
487
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0487
—
AK
Enumeration date
01/20/2006
Last updated
07/08/2007
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