Individual
JADE ELIZABETH ICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2577 NE COURTNEY DR, BEND, OR 97701-7638
(541) 322-7500
(541) 322-7565
Mailing address
2577 NE COURTNEY DR, BEND, OR 97701-7638
(541) 322-7500
(541) 322-7565
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201341671RN
OR
Other
Enumeration date
08/28/2013
Last updated
08/28/2013
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