Individual
MRS. JUDI LYNNE HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5523 36TH AVE SE, SALEM, OR 97317-9347
(503) 930-4080
(503) 581-6613
Mailing address
5523 36TH AVE SE, SALEM, OR 97317-9347
(503) 930-4080
(503) 581-6613
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
077038717RN
OR
163W00000X
Registered Nurse
RN072434
AZ
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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