Individual
MESA GREENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN, CWOCN
Contact information
Practice address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-2114
Mailing address
700 S J ST, LAKEVIEW, OR 97630-1623
(541) 947-2114
Taxonomy
Speciality
Code
Description
License number
State
163WI0600X
Infection Control Registered Nurse
Primary
200242473RN
OR
Other
Enumeration date
07/30/2020
Last updated
02/10/2021
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