Individual
ANDREA DAUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 NE NEFF RD STE A, BEND, OR 97701-6752
(541) 389-3300
(541) 389-8115
Mailing address
PO BOX 2927, PORTLAND, OR 97208-2927
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
2457659
MN
363LF0000X
Family Nurse Practitioner
Primary
202005498NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2160133
—
WA
05
—
500781728
—
OR
Enumeration date
09/10/2017
Last updated
04/11/2024
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