Individual
SHELLEY R TRUMBLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
630 GRIFFITH LN, KLAMATH FALLS, OR 97603-9370
(541) 891-9462
Mailing address
630 GRIFFITH LN, KLAMATH FALLS, OR 97603-9370
(541) 891-9462
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
098239
—
OR
Enumeration date
03/05/2007
Last updated
07/09/2007
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