Individual
MRS. DOROTHY ANN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
815 E 3RD AVE, SUTHERLIN, OR 97479-9661
(541) 315-2150
Mailing address
5001 PACIFIC BLVD SW APT 103, ALBANY, OR 97321-8409
(219) 851-1622
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200730326LPN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HR300W7U
PRIME NUMBER
OR
Enumeration date
08/24/2009
Last updated
08/24/2009
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