Individual
ABIGAIL MARIE BLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1890 WAITE ST, NORTH BEND, OR 97459-1229
(541) 756-6232
(541) 756-6234
Mailing address
1890 WAITE ST, NORTH BEND, OR 97459-1229
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201606053RN
OR
Other
Enumeration date
06/06/2023
Last updated
06/06/2023
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