Organization
GRANT COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY LINDSAY (PUBLIC HEALTH ADMIN)
(541) 676-9161
Entity
Organization
Contact information
Practice address
528 E MAIN ST, JOHN DAY, OR 97845-1240
(541) 575-0429
(541) 575-3604
Mailing address
528 E MAIN ST, JOHN DAY, OR 97845-1240
(541) 575-0429
(541) 575-3604
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006492
—
OR
Enumeration date
07/05/2006
Last updated
11/09/2012
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