Individual
MS. KIETA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3684
(541) 464-3914
Mailing address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 440-3684
(541) 464-3914
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200642673
OR
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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