Individual
KATHERINE ANNE BRUNEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
692 COLUMBIA DR, MOLALLA, OR 97038-8819
(503) 759-4997
Mailing address
692 COLUMBIA DR, MOLALLA, OR 97038-8819
(503) 759-4997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200141362RN
OR
Other
Enumeration date
07/06/2009
Last updated
07/06/2009
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